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Sciatica caused by lumbar epidural gas.

Authors
  • Belfquih, Hatim
  • El Mostarchid, Brahim
  • Akhaddar, Ali
  • gazzaz, Miloudi
  • Boucetta, Mohammed
Type
Published Article
Journal
Pan African Medical Journal
Publisher
Pan African Medical Journal
Publication Date
2014
Volume
18
Pages
162–162
Identifiers
DOI: 10.11604/pamj.2014.18.162.1354
PMID: 25422680
Source
Medline
Keywords
License
Unknown

Abstract

Gas production as a part of disc degeneration can occur but rarely causes nerve compression syndromes. The clinical features are similar to those of common sciatica. CT is very useful in the detection of epidural gas accumulation and nerve root compression. We report a case of symptomatic epidural gas accumulation originating from vacuum phenomenon in the intervertebral disc, causing lumbo-sacral radiculopathy. A 45-year-old woman suffered from sciatica for 9 months. The condition worsened in recent days. Computed tomography (CT) demonstrated intradiscal vacuum phenomenon, and accumulation of gas in the lumbar epidural space compressing the dural sac and S1 nerve root. After evacuation of the gas, her pain resolved without recurrence.

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