Sciatica caused by lumbar epidural gas


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.

DOI: 10.11604/pamj.2014.18.162.1354

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@inproceedings{Belfquih2014SciaticaCB, title={Sciatica caused by lumbar epidural gas}, author={Hatim Belfquih and Brahim El mostarchid and Ali Akhaddar and Miloudi Gazzaz and Mohammed Boucetta}, booktitle={The Pan African medical journal}, year={2014} }