Compresión radicular lumbar por gas epidural
A. García Allut, A. Bollar Zabala, A. Prieto González, M. Gelabert González, F. Reyes Oliveros
Servicios de Neurocirugía del Complejo Hospitalario Clínico Universitario de Santiago. Santiago de Compostela
R. Reyes Santias*
* Anatomía Patológica del Complejo Hospitalario Clínico Universitario de Santiago. Santiago de Compostela
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Prieto González, M. Gelabert González, F. Reyes Oliveros" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "García Allut" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "Bollar Zabala" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Prieto González" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Gelabert González" ] 4 => array:2 [ "nombre" => "F." "apellidos" => "Reyes Oliveros" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicios de Neurocirugía del Complejo Hospitalario Clínico Universitario de Santiago. Santiago de Compostela" ] ] ] 1 => array:3 [ "autoresLista" => "R. Reyes Santias" "autores" => array:1 [ 0 => array:3 [ "nombre" => "R." "apellidos" => "Reyes Santias" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Anatomía Patológica del Complejo Hospitalario Clínico Universitario de Santiago. Santiago de Compostela" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec162975" "palabras" => array:4 [ 0 => "Disco lumbar" 1 => "Gas epidural" 2 => "Quiste epidural" 3 => "Fenómeno de vacío" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec162976" "palabras" => array:4 [ 0 => "Lumbar disco" 1 => "Epidural gas" 2 => "Epidural cyst" 3 => "Vacuum phenomenon" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La presencia de gas epidural en el canal raquídeo es un hallazgo infrecuente, relacionado con patología vértebro discal de origen degenerativo, traumático, infeccioso o tumoral.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se presenta un caso clínico de un varón de 48 años, con historia de lumbociatalgias recidivantes, que a su ingreso presenta radiculopatía sensitiva L5 y SI derecha relacionada con una colección de gas ocupando el receso lateral L5 derecho.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El cuadro clínico se resolvió satisfactoriamente con la cirugía.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El fenómeno de vacío intradiscal se relaciona con presiones subatmosféricas, probablemente por expansión del nitrógeno y otros gases disueltos en los tejidos vecinos. Debido a la naturaleza avascular del disco este gas no se reabsorbe, pudiendo migrar al espacio epidural a través de una fisura en el anulus.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">El diagnóstico de imagen no suele plantear problemas y la intervención quirúrgica está indicada cuando la clínica no se resuelve o recidiva.</p>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Gas in the epidural space is arare event related to degenerative, traumatic, infectious or tumoral spinal disease.</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">We are presenting the case of a 48 year old male with a 30 year history of low back pain and episodes of right sciatica who had a sensitive L5 and SI radiculopathy related with a large gas coIlection occupying the right L5 lateral recesus. Surgical removal of gas was followed by total remission of the symptoms.</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Disc vacuum phenomenon is due to intradiscal subatmospheric pressure, when gases dissolved in the tissues are released. Disc avascular nature makes difficult gas resorbtion which may extend to the epidural space throught an anulus fissure.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Diagnosis of this pathology is not difficult and surgical treatment is mandatory when the clinical symptoms persist.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">García Allut, A.; Bollar Zabala, A.; Reyes Santias, R.; Prieto González, A.; Gelabert González, M.; Reyes Oliveros, F.: Compresión radicular lumbar por gas epidural. Neurocirugía 1996; 7: 145–148.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Intradural disc herniation with vacuum phenomenon: CT diagnosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Anda" 1 => "L.G. Dale" 2 => "J. Vassal" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Neuroradiol" "fecha" => "1987" "volumen" => "29" "paginaInicial" => "407" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Sciatica and epidural gas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.A. 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