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Treatment of a Symptomatic Epidural Gas Cyst Using an Angiographic 5F Catheter in the Epidural Space of the Spinal Cord through the Sacral Hiatus. A Case Report.
MedLine Citation:
PMID:  24059897     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
An 85-year-old woman arrived at our institution because of left lumbar sciatica of about two years duration unrelieved by conventional oral pain therapy. A computed tomography scan obtained at the second visit showed an epidural gas cyst, with compression and dislocation of the left spinal nerve root L5. The common treatment of an epidural gas cyst is either a direct surgical approach or a CT-guided needle aspiration. We describe an alternative method to mechanical lysis of epidural gas cysts with the use of an 5F angiographic catheter inserted on a 0.035-inch guidewire. This procedure is less invasive than a surgical approach and safer than a CT-guided needle aspiration. Remission of symptoms was maintained at control visits at three and five months.
Authors:
F Ambesi Impiombato; V Lunghi; D Gambacorta; M Zocchi
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Publication Detail:
Type:  Journal Article     Date:  2011-12-23
Journal Detail:
Title:  The neuroradiology journal     Volume:  24     ISSN:  1971-4009     ISO Abbreviation:  Neuroradiol J     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2013-09-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101295103     Medline TA:  Neuroradiol J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  914-8     Citation Subset:  -    
Affiliation:
Neuroradiology Unit, Misericordia Hospital Grosseto Primary Care Trust 9; Grosseto, Italy - f.ambesi.i@gmail.com.
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