scholarly journals Disc Herniation and Cyst Gas: A Rare Association Causing Radicular Compression

2017 ◽  
Vol 36 (02) ◽  
pp. 133-135
Author(s):  
Cherkaoui Mandour ◽  
Miloudi Gazzaz ◽  
Brahim Mostarchid
Keyword(s):  
Computed Tomography ◽  
Disc Herniation ◽  
Herniated Disc ◽  
Lumbar Pain ◽  
Intervertebral Space ◽  
Rare Association ◽  
Common Clinical Finding ◽  
Radicular Compression ◽  
Epidural Gas ◽  
Lateral Disc Herniation

Introduction Intraspinal gas is a common clinical finding, but an epidural gas pseudocyst in association with lateral disc herniation compressing a nerve root is an exceptional observation. Case Report A 49-year-old man was admitted to our department presenting with sciatica. The neurological examination demonstrated moderate lumbar pain without neurological deficit. A lumbosacral computed tomography showed the presence of degenerated disc herniation and epidural gas collection. Discussion The pathological association between the cyst and the hernia is probably due to the migration of gas pumped from the intervertebral space through a breaking point or lower in the annulus fibrosis, involving its contiguity with the herniated disc. Conclusion An association between a disc herniation and a gas pseudocyst can be a cause of sciatica.

Radicular Compression Due to Lumbar Intraspinal Gas Pseudocyst: Case Report

Neurosurgery ◽  
1988 ◽  
Vol 22 (4) ◽  
pp. 731-733 ◽  
Author(s):  
Bertrand Demierre ◽  
Aymen Ramadan ◽  
Hermann Hauser ◽  
Alain Reverdin ◽  
Bénédict Rilliet ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Spinal Canal ◽  
Pain Syndrome ◽  
Herniated Disc ◽  
Unique Case ◽  
Vacuum Phenomenon ◽  
Sciatic Pain ◽  
Radicular Compression

Abstract A case of sciatic pain syndrome is reported. Computed tomography showed evidence of gas in the spinal canal, and at operation a gas-filled pseudocyst was found in the spinal canal, without herniated disc. The cause of this unique case is discussed in relation to the spinal vacuum phenomenon.

Butterfly vertebra with lumbar intervertebral disc herniation

2011 ◽  
Vol 15 (5) ◽  
pp. 567-570 ◽  
Author(s):  
Hyung-Lea Cho ◽  
Jin-Sung Kim ◽  
Sung Suk Paeng ◽  
Sang-Ho Lee
Keyword(s):  
Disc Herniation ◽  
Incidental Findings ◽  
Herniated Disc ◽  
Intervertebral Disc Herniation ◽  
Intervertebral Space ◽  
Lumbar Intervertebral Disc ◽  
Interlaminar Approach ◽  
Lumbar Intervertebral Disc Herniation ◽  
Fusion Defect ◽  
Sagittal Cleft

A butterfly vertebra is a rare congenital anomaly that is usually asymptomatic. The authors, however, describe a novel case involving a butterfly vertebra overlapping with disc herniation that presented as radiculopathy. A butterfly vertebra is characterized by a symmetrical fusion defect resulting in a sagittal cleft vertebra. Only a few cases of butterfly vertebrae have been reported as incidental findings. This spinal anomaly may be associated with other congenital conditions such as Pfeiffer, Crouzon, Jarcho-Levin, and Alagille syndromes. Moreover, there is no previous report of a case associated with symptomatic disc herniation from the sagittal cleft. The authors excised the herniated disc fragment. They performed intraoperative discography after exposure of the corresponding intervertebral space via a conventional interlaminar approach. Histological examination of a tissue specimen showed scattered chondrocytes in the myxohyaline stroma, which indicated the nucleus pulposus.

Comparison of Myelography and Computed Tomography in Establishing Lumbar Disc Herniation

1989 ◽  
Vol 30 (3) ◽  
pp. 241-246 ◽  
Author(s):  
M. K. J. Fagerlund ◽  
U. E. Thelander
Keyword(s):  
Computed Tomography ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Soft Tissues ◽  
Lumbar Disc ◽  
False Negative ◽  
Herniated Disc ◽  
Intervertebral Disc Herniation ◽  
Lumbar Region ◽  
Negative Case

The results of lumbar myelography and computed tomography (CT) were compared in 51 consecutive patients with clinically suggested lumbar disc herniation. A total of 100 intervertebral levels were examined. At 62 levels, either L4/L5 or L5/S1, myelography was normal. CT showed no pathologic changes at 55 levels. The results concurred between myelography and CT in 89 per cent of the patients with normal findings. Four cases of disc herniation and one bulging disc, which had been missed at myelography because of a large epidural space at L5/S1, were picked up by CT. Two of these were verified by surgery and two were treated conservatively. There was one possible false negative case with CT as well. Abnormalities were shown at 38 intervertebral levels, 22 in the bulging and 16 in the herniated disc group. The pathologic changes concurred in 84 per cent between the two investigations. For intervertebral disc herniation the true negative rate was, for myelography 88 per cent and for CT 97 per cent. The treatment strategy could have been based on CT alone at 37 out of 38 levels (97%), and on myelography alone at 34 out of 38 levels (89%). Furthermore, at CT the imaging of soft tissues and intervertebral joints was superior to that at myelography. It is concluded that CT should be the primary examination method of imaging for lumbar disc herniation. Myelography is, however, to be preferred where the level of the lesion is clinically unclear or when the entire lumbar region and thoraco-lumbar junction are to be examined.

An Unusual Case of Footdrop

Neurosurgery ◽  
2010 ◽  
Vol 66 (2) ◽  
pp. E419-E420 ◽  
Author(s):  
Howard B. Levene ◽  
Anitha Nimmagadda ◽  
Allan D. Levi
Keyword(s):  
Differential Diagnosis ◽  
Disc Herniation ◽  
Psoas Muscle ◽  
Herniated Disc ◽  
Nerve Sheath Tumor ◽  
Nerve Roots ◽  
Neural Foramen ◽  
Disc Space ◽  
Disc Herniations ◽  
Lateral Disc Herniation

Abstract OBJECTIVE Extreme lateral disc herniations are described. Usually, the herniated disc is described as being at the lateral edge of the neural foramen. Herniated discs that lodge beyond this location need to be included in the differential of retroperitoneal lesions impinging on nerve roots. CLINICAL PRESENTATION A 76-year-old woman presented with left leg radicular symptoms, including footdrop and a retroperitoneal lesion. Given the location of the lesion and its distance from the edge of the neural foramen, the differential diagnosis favored a nerve sheath tumor. INTERVENTION An anterior retroperitoneal approach was taken. At the time of surgery, the lesion proved to be a herniated disc arising from the anterior surface of the L5-S1 disc space, medial to the psoas muscle. The disc herniation resulted in severe compression of the L5 nerve root as the root joined the lumbosacral plexus. This type of even more extreme lateral disc herniation is not widely reported. At this location, there are reports of clinicians confusing discs for tumors and occasionally tumors for discs. Given that some disc herniations are no longer visually adjacent to the foramen, perhaps extreme lateral disc herniation is not an ideal term. This individual case report is supplemented with a review of the literature on this rare condition with specific searches for disc, retroperitoneal, anterior herniation. CONCLUSION Using the term anterior disc herniation will aid clinicians in including herniated disc fragments in the differential diagnosis for lesions affecting nerve roots anterior to the spine in this retroperitoneal location.

Diagnostic Value of Computed Tomography in Recurrent Pain after Discectomy

Neurosurgery ◽  
1987 ◽  
Vol 20 (2) ◽  
pp. 302-309 ◽  
Author(s):  
Gerald R. Schell ◽  
Luciano M. Modesti ◽  
Edwin D. Cacayorin
Keyword(s):  
Computed Tomography ◽  
Disc Herniation ◽  
Scar Tissue ◽  
Diagnostic Value ◽  
Herniated Disc ◽  
Recurrent Pain ◽  
Clinical Criteria ◽  
Recurrent Disc Herniation ◽  
Contrast Enhanced Ct ◽  
Enhanced Ct

Abstract Intravenously enhanced computed tomography (CT) was used in patients in whom the differential diagnosis between recurrent herniated disc and postoperative scar was considered. Enhanced CT images demonstrated postoperative herniated discs more accurately than clinical criteria, myelography, or plain or postmetrizamide CT. The scar tissue shows contrast enhancement, but recurrent disc herniation does not. Therefore, contrast-enhanced CT is considered to be a valuable aid in distinguishing between recurrent disc herniation and hypertropic scar formation.

Considerations On Kinetotherapy Of Low Lumbar Pain

2019 ◽  
pp. 34-38
Author(s):  
Bogdan Hagiu
Keyword(s):  
Leisure Activities ◽  
Herniated Disc ◽  
Lumbar Pain ◽  
Pathophysiological Mechanism ◽  
Common Condition ◽  
Lumbar Stabilization ◽  
Specific Medication ◽  
Spinal Osteoarthritis ◽  
Work Accidents ◽  
Lower Lumbar

Low lumbar pain is a very common condition that can benefit from kinetotherapy, which can be combined with specific medication and cognitive therapy. Depending on the pathophysiological mechanism of production, some physiotherapy exercises or techniques can be highlighted, because they have an increased efficiency in combating this type of pain. Thus, in the case of lower lumbar pain inherent to fibromyalgia, aerobic exercises appear to be more useful, and in the case of pain that accompany a herniated disc are recommended strenght exercises and lumbar stabilization. Lower lumbar pains due to work accidents are particularly beneficial for aerobic exercise if muscular contractions are present, and those with a sacroiliac joint dysfunction as an etiology can be alleviated by Mulligan mobilizations, Mulligan tapping and ultrasound; for those caused by spinal osteoarthritis are especially useful yoga and stretching exercises. Lower lumbar pain can also be caused by ankylosing spondylitis, in which case they can be improved by gymnastics, hydrotherapy, massage, leisure activities.

scholarly journals Radical Nephroureterectomy: A Clinical Image

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Mohammed M ◽  
◽  
Dieudonné ZOJ ◽  
Jaafar M ◽  
Soufiane E ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Prognostic Factors ◽  
Gold Standard ◽  
Upper Urinary Tract ◽  
Lumbar Pain ◽  
Clinical Image ◽  
Radical Nephroureterectomy ◽  
Left Adrenal Gland ◽  
Computed Tomography Scanner ◽  
Urinary Tract Urothelial Carcinoma

Upper Urinary Tract Urothelial Carcinoma (UTUC) remain rare. Radical Nephroureterectomy (RNU) is the Gold standard for management of these tumours. We are reporting a clinical image of a 45-year-old patient admitted in emergency for left lumbar pain (nephritic colic). The checkups requested computed tomography scanner showed a nephromegaly and left hydronephrosis upstream of a suspicious parietal thickening of the lumbar ureter with cortical and functional repercussion, neighborhood infiltration, and atypical lateral-aortic ganglia. Left lower calicial lithiasis of stasis, pancreatic nodular lesion and the left adrenal gland. The patient was a candidate for an open Radical Left Nephroureterectomy (RNU) (Figure 1). Figure 1: Radical Nephroureterectomy (RNU) picture U (Ureter) R (Renal). There are prognostic factors of tumors of the upper urinary excretory tract, which are the patient’s status, the preoperative, the operation and the anatomopathology [1]. According to current literature data, the oncology outcomes of radical nephrouretrectomy by laparoscopic are lower than those of open RNU surgery [2].

scholarly journals Association between pain and gait instability in patients with lumbar disc herniation

2021 ◽  
Vol 49 (8) ◽  
pp. 030006052110393
Author(s):  
Keunjae Lee ◽  
Eun-San Kim ◽  
Boyoung Jung ◽  
Sang-Won Park ◽  
In-Hyuk Ha
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Rating Scale ◽  
Lumbar Disc ◽  
Linear Regression Analysis ◽  
Lumbar Pain ◽  
Multivariate Linear Regression Analysis ◽  
Cross Sectional ◽  
Gait Symmetry ◽  
Symmetry Index

Objective To determine whether pain is associated with gait instability in patients with lumbar disc herniation (LDH). Methods This retrospective cross-sectional study used data from electronic medical records. Among patients with lumbar back pain caused by LDH between January 2017 and July 2019, patients that underwent gait analysis were included. LDH was diagnosed using magnetic resonance imaging. An OptoGait photoelectric cell system was used for gait evaluation. Instability was measured using a gait symmetry index. Multivariate linear regression analysis was performed to determine the association between lumbar pain and gait instability. Results A total of 29 patients (12 females [41.4%] and 17 males [58.6%]; mean ± SD age, 40.6 ± 12.0 years) with LDH were enrolled in the study. With each 1-point increase in lumbar pain on the numeric rating scale, the symmetry index of the stance phase (0.33; 95% confidence interval [CI] 0.04, 0.62), swing phase (0.78; 95% CI 0.14, 1.43) and single support (0.79; 95% CI 0.15, 1.43) increased. Conclusions Gait instability in patients with LDH may occur due to an increase in pain.

Sign in / Sign up

Export Citation Format

Share Document