title: Spinal gas accumulation causing lumbar discogenic disease: a case report.
abstract: Vacuum disc phenomenon is seen frequently with degenerative disc disease and is characterized by the collection of gas in the disc space. Although the accumulation of gas within the disc space does not have clinical significance, symptoms may develop when occurring within the spinal canal. We present a 60-year-old female patient with low back and left leg pain occurring for 3 months before admission to our clinic. Straight leg raise test was 50 degrees in the left leg. Magnetic resonance imaging showed a narrowing of the L5-S1 disc space with vacuum disc phenomenon and hypointense cystic mass in T1 and T2-weighted images. The decision for surgery was made and left L5-S1 hemilaminectomy and foraminotomy was performed. The cyst wall was adherent to the root and dura mater and was partially excised. The patient was pain-free on the first postoperative day. In cases of gas accumulation in the spinal canal, discogenic pain may occur. Surgical therapy is still an acceptable method for the treatment of vacuum disc phenomenon and accumulation of gas within the spinal canal.
authors: Department of Neurosurgery, Atatürk Training and Research Hospital, Ankara, Turkey. giyas67@hotmail.com.
authors: Giyas
authors: G
authors: Ayberk
authors: Department of Neurosurgery, Medical Park Hospital Bahçelievler, İstanbul, Turkey.
authors: Mehmet Faik
authors: MF
authors: Özveren
authors: Department of Neurosurgery, Faculty of Medicine, Ordu University, Ordu, Turkey.
authors: Timur
authors: T
authors: Yıldırım
mesh_terms: D005260:Female; D059526:Foraminotomy / Q000379:methods; D005740:Gases; D006801:Humans; D055959:Intervertebral Disc Degeneration / Q000175:diagnosis* / Q000601:surgery*; D007405:Intervertebral Disc Displacement / Q000175:diagnosis* / Q000601:surgery*; D007796:Laminectomy / Q000379:methods; D017116:Low Back Pain / Q000209:etiology*; D008159:Lumbar Vertebrae / Q000473:pathology*; D008875:Middle Aged; D016896:Treatment Outcome
chemical_list: D005740:Gases