Could gas-filled pseudocyst mimick extruded disc herniation?

Eksi M. S., Ozcan-Eksi E. E., Orhun O., Akkas A., Yasar A. H., Zarbizada M., ...Daha Fazla

JOURNAL OF CLINICAL NEUROSCIENCE, cilt.93, ss.147-154, 2021 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 93
  • Basım Tarihi: 2021
  • Doi Numarası: 10.1016/j.jocn.2021.09.023
  • Dergi Adı: JOURNAL OF CLINICAL NEUROSCIENCE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.147-154
  • Anahtar Kelimeler: Gas-filled pseudocyst, Disc degeneration, Modic changes, Discal cyst, Radiculopathy, NERVE ROOT COMPRESSION, LUMBAR INTRASPINAL GAS, INTRADURAL CYST, EPIDURAL GAS, VACUUM PHENOMENON, PERCUTANEOUS TREATMENT, RADICULAR COMPRESSION, RADICULOPATHY, CT, ASSOCIATION
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

There are case reports and small case series in the literature reporting gas-filled pseudocysts (GFP). However, a systematic review presenting overall view of the disease and its management is still lacking. In the present study, we aimed to make a systematic review of GFP cases, and present an exemplary case of ours. Our second aim was to discuss current theories for pathogenesis of GFP. A systematic review of GFP was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. Two large-scaled data search engines were used. A total of 53 articles were retrieved from the literature and presented with an exemplary case of ours. Mean age of the historical cohort was 59.47 years. There were 66 male (54.1%) and 56 female (45.9%) patients. The most prevalent clinical presentation was radicular sign/symptom in lower limbs with (29.1%) or without low back pain (LBP) (67%). Gas-filled pseudo cyst has most commonly been diagnosed at the lower lumbar spine (L4-L5, 45.3%; L5-S1, 37.7%). Surgery was the treatment of choice in most of the patients (80%). In the whole cohort, 79.1% of the patients had complete recovery. Gas-filled pseudocysts are rarely observed in daily practice. They present mostly in men at the age of 60s. Precise differential diagnosis determination using appropriate imaging would help clinicians treat the patients properly. Gas-filled pseudocysts should be treated similarly to other spinal pathologies causing nerve root compression. (c) 2021 Elsevier Ltd. All rights reserved.