Epidural Gas-containing Pseudocyst in Lumbar Spine: A Case Report.
10.4184/jkss.2014.21.4.189
- Author:
Woo Sung KIM
1
;
Young Sang LEE
;
Tae Hyun KIM
;
Sub Ri PARK
Author Information
1. Department of Orthopedic Surgery, Bundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea. yslee2080@yahoo.com
- Publication Type:Case Report
- Keywords:
Epidural pseudocyst;
Surgical treatment;
Fine needle aspiration;
Open cystectomy
- MeSH:
Biopsy, Fine-Needle;
Cystectomy;
Decompression;
Diagnosis;
Diagnostic Errors;
Epidural Neoplasms;
Humans;
Ligaments;
Longitudinal Ligaments;
Magnetic Resonance Imaging;
Needles;
Neurologic Manifestations;
Radiculopathy;
Spinal Stenosis;
Spine*
- From:Journal of Korean Society of Spine Surgery
2014;21(4):189-193
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Case report. OBJECTIVES: We report two cases regarding epidural air pseudocyst at the lumbar spine. SUMMARY OF LITERATURE REVIEW: Epidural air pseudocyst at the lumbar spine that provokes radiating pain and neurologic symptoms can be misdiagnosed as an epidural tumor or HIVD. Consequently, proper diagnosis and treatment of the epidural air pseudocyst at the lumbar spine is necessary. MATERIALS AND METHODS: We report on two patients with radiculopathy and neurologic symptoms resulting from epidural air pseudocysts. In one patient, the epidural air pseudocyst was found within the epidural ligament flavum area on an MRI, and fluoroscopic-guided FNA (fine needle aspiration) was performed. In the other, the epidural air pseudocyst was found behind the posterior longitudinal ligament and was accompanied by spinal stenosis. In this patient, we conducted open cystectomy and posterior decompression surgery. Results: After treatment, all patients have showed symptom improvement and they are currently living without discomfort. RESULTS: After treatment, all patients have showed symptom improvement and they are currently living without discomfort. CONCLUSIONS: Due to frequent misdiagnosis, the careful diagnosis of lumbar epidural air pseudocyst is necessary. Physicians should select a proper treatment plan concerning the patient's condition and the location of the lesion.
