title: Recurrent sciatica due to periligamentous trapped epidural gas after spinal sequestrectomy.
abstract: The authors describe the unusual case of a 50-year-old woman who suffered from sciatic pain due to periligamentous trapped epidural gas after lumbar sequestrectomy. The patient underwent removal of free herniated disc material via a translaminar approach through the L-5 lamina without discectomy. Four days later she suffered from recurrent pain, and neuroimaging studies revealed an epidural gas formation at the site of the sequestrectomy. After evacuation of the gas, her pain resolved. Postoperative intraspinal gas may be symptomatic in the rare case.
authors.affiliation: Department of Neurosurgery, Medical University, Medizinische Hochschule Hannover, Germany.
authors.forename: Hans-Holger
authors.initials: HH
authors.lastname: Capelle
authors.forename: Joachim K
authors.initials: JK
authors.lastname: Krauss
mesh_terms: D004824:Epidural Space / Q000473:pathology; D005260:Female; D005740:Gases; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D012008:Recurrence; D012585:Sciatica / Q000209:etiology* / Q000473:pathology
chemical_list: D005740:Gases