Top

Published in:

01-12-2013 | Case Report

Increased size of a gas-filled intradural cyst causing acute foot drop: a case report

Authors: Chang-Hoon Jeon, Jeong-Uk Park, Ho-Sik Choo, Nam-Su Chung

Published in: Skeletal Radiology | Issue 12/2013

Abstract

We describe the case of a 76-year-old man presenting with a gas-filled intradural cyst that increased in size over a 10-month period and caused acute bilateral foot drop. The gas-filled intradural cyst was resected from the adherent cauda equina, and histopathological examination identified cystic tissue with degenerated fibrocartilage. Leg pain disappeared immediately following surgery, and the bilateral foot drop resolved within 8 months.

Hidalgo-Ovejero AM, Garcia-Mata S, Gozzi-Vallejo S, Izco-Cabezon T, Martinez-Morentin J, Martinez-Grande M. Intradural disc herniation and epidural gas: something more than a casual association? Spine (Phila Pa 1976). 2004;29(20):E463–7.CrossRef

Kakitsubata Y, Theodorou SJ, Theodorou DJ, Yuko M, Ito Y, Yuki Y, et al. Symptomatic epidural gas cyst associated with discal vacuum phenomenon. Spine (Phila Pa 1976). 2009;34(21):E784–9.CrossRef

Harvey AR, Britton JM, Plant GR. A gas-filled intradural cyst associated with disc degeneration. Spinal Cord. 2000;38(11):708–10.PubMedCrossRef

Chiu LJ, Tsai PC, Chou PC, Kuo TM, Cheng C, Li MJ, et al. A gas-filled intradural cyst with intradural disc herniation: a case report. Acta Neurol Taiwan. 2008;17(1):36–41.PubMed

Kawaguchi S, Yamashita T, Ida K, Ikeda T, Ohwada O. Gas-filled intradural cyst of the lumbar spine. Case report. J Neurosurg. 2001;95(2 Suppl):257–9.PubMed

Kudo Y, Nishijima Y, Mochida K, Sekido Y, Tachibana S. Gas-filled intradural cyst with migration into the nerve root of the cauda equina. J Neurosurg Spine. 2008;8(5):482–6.PubMedCrossRef

Sei A, Mizutamari M, Fujimoto T, Taniwaki T, Mizuta H. Gas-filled intradural cysts of the lumbar spine and the possible pathogenesis. Spine J. 2009;9(7):e6–8.PubMedCrossRef

Cho HL, Lee SH, Kim JS. Gas-filled intradural cyst within the cauda equine. J Korean Neurosurg Soc. 2011;49(3):182–5.PubMedCrossRef

Schizas C, Theumann N, Burn A, Tansey R, Wardlaw D, Smith FW, et al. Qualitative grading of severity of lumbar spinal stenosis based on the morphology of the dural sac on magnetic resonance images. Spine (Phila Pa 1976). 2010;35(21):1919–24.CrossRef

10.

Niggemann P, Kuchta J, Hoeffer J, Grosskurth D, Beyer HK, Delank KS. Juxtafacet cysts of the lumbar spine: a positional MRI study. Skelet Radiol. 2012;41(3):313–20.CrossRef

11.

Taha H, Bareksei Y, Albanna W, Schirmer M. Ligamentum flavum cyst in the lumbar spine: a case report and review of the literature. J Orthop Traumatol Off J Italian Soc Orthop Traumatol. 2010;11(2):117–22.CrossRef

12.

Lippman CR, Arginteanu M, Purohit D, Naidich TP, Camins MB. Intramedullary neurenteric cysts of the spine. Case report and review of the literature. J Neurosurg. 2001;94(2 Suppl):305–9.PubMed

13.

Dillon WP, Kaseff LG, Knackstedt VE, Osborn AG. Computed tomography and differential diagnosis of the extruded lumbar disc. J Comput Assist Tomogr. 1983;7(6):969–75.PubMedCrossRef

14.

Raynor RB, Saint-Louis L. Postoperative gas bubble foot drop. A case report. Spine (Phila Pa 1976). 1999;24(3):299–301.CrossRef

15.

Yoshida H, Shinomiya K, Nakai O, Kurosa Y, Yamaura I. Lumbar nerve root compression caused by lumbar intraspinal gas. Report of three cases. Spine (Phila Pa 1976). 1997;22(3):348–51.CrossRef

16.

Salpietro FM, Alafaci C, Collufio D, Passalacqua M, Puglisi E, Tripodo E, et al. Radicular compression by lumbar intraspinal epidural gas pseudocyst in association with lateral disc herniation. Role of the posterior longitudinal ligament. J Neurosurg Sci. 2002;46(2):93–5. discussion 95.PubMed

17.

Sasani M, Ozer AF, Oktenoglu T, Cosar M, Karaarslan E, Sarioglu AC. Recurrent radiculopathy caused by epidural gas after spinal surgery: report of four cases and literature review. Spine (Phila Pa 1976). 2007;32(10):E320–5.CrossRef

18.

Kuh SU, Heo DH, Kim KS, Cho YJ. Lumbar epidural gas-containing pseudocysts as a cause of severe radicular pain. Joint Bone Spine. 2011;78(4):398–401.PubMedCrossRef

19.

Righini A, Lucchi S, Reganati P, Zavanone M, Bettinelli A. Percutaneous treatment of gas-containing lumbar disc herniation. Report of two cases. J Neurosurg. 1999;91(1 Suppl):133–6.PubMed

Title: Increased size of a gas-filled intradural cyst causing acute foot drop: a case report
Authors: Chang-Hoon Jeon
Jeong-Uk Park
Ho-Sik Choo
Nam-Su Chung
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: Skeletal Radiology / Issue 12/2013
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-013-1668-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Increased size of a gas-filled intradural cyst causing acute foot drop: a case report

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 12/2013

Incidental lesion in the femoral metaphysis

Access routes and reported decision criteria for lumbar epidural drug injections: a systematic literature review

Repair tissue quality after arthroscopic autologous collagen-induced chondrogenesis (ACIC) assessed via T2* mapping

Extensor retinaculum of the wrist: gross anatomical correlation with MR imaging after ultrasound-guided tenography with emphasis on anatomical features in wrist dorsiflexion responsible for tendon impingement

Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics

Incidental lesion in the femoral metaphysis