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Could gas-filled pseudocyst mimick extruded disc herniation?
Journal of Clinical Neuroscience ( IF 2 ) Pub Date : 2021-09-20 , DOI: 10.1016/j.jocn.2021.09.023
Murat Şakir Ekşi 1 , Emel Ece Özcan-Ekşi 2 , Ömer Orhun 3 , Alper Akkaş 1 , Ahmet Harun Yaşar 1 , Maftun Zarbizada 1 , Çağrı Canbolat 4 , Mustafa Güdük 1 , Baran Bozkurt 1 , Murat İmre Usseli 1 , Ayça Erşen-Danyeli 5 , Murat Hamit Aytar 6 , Müfit Kalelioğlu 7 , Serdar Özgen 8 , M Necmettin Pamir 1 , Edward C Benzel 9
Affiliation  

There are case reports and small case series in the literature reporting gas-filled pseudocysts (GFP). However, a systematic review presenting overall view of the disease and its management is still lacking. In the present study, we aimed to make a systematic review of GFP cases, and present an exemplary case of ours. Our second aim was to discuss current theories for pathogenesis of GFP. A systematic review of GFP was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline. Two large-scaled data search engines were used. A total of 53 articles were retrieved from the literature and presented with an exemplary case of ours. Mean age of the historical cohort was 59.47 years. There were 66 male (54.1%) and 56 female (45.9%) patients. The most prevalent clinical presentation was radicular sign/symptom in lower limbs with (29.1%) or without low back pain (LBP) (67%). Gas-filled pseudocyst has most commonly been diagnosed at the lower lumbar spine (L4-L5, 45.3%; L5-S1, 37.7%). Surgery was the treatment of choice in most of the patients (80%). In the whole cohort, 79.1% of the patients had complete recovery. Gas-filled pseudocysts are rarely observed in daily practice. They present mostly in men at the age of 60s. Precise differential diagnosis determination using appropriate imaging would help clinicians treat the patients properly. Gas-filled pseudocysts should be treated similarly to other spinal pathologies causing nerve root compression.



中文翻译:

充气假性囊肿可以模拟椎间盘突出症吗?

在报告充气假性囊肿 (GFP) 的文献中有病例报告和小型病例系列。然而,仍然缺乏对疾病及其管理的整体看法的系统评价。在本研究中,我们旨在对 GFP 案例进行系统回顾,并展示我们的示范案例。我们的第二个目标是讨论当前关于 GFP 发病机制的理论。使用系统评价和元分析的首选报告项目指南对 GFP 进行了系统评价。使用了两个大规模数据搜索引擎。总共从文献中检索了 53 篇文章,并以我们的示例案例呈现。历史队列的平均年龄为 59.47 岁。有66名男性(54.1%)和56名女性(45.9%)患者。最普遍的临床表现是下肢神经根征/症状,有(29.1%)或没有腰痛(LBP)(67%)。充气假性囊肿最常在下腰椎诊断(L4-L5,45.3%;L5-S1,37.7%)。手术是大多数患者(80%)的首选治疗方法。在整个队列中,79.1% 的患者完全康复。在日常实践中很少观察到充气假性囊肿。它们主要出现在 60 多岁的男性中。使用适当的成像进行精确的鉴别诊断将有助于临床医生正确治疗患者。充气假性囊肿的治疗应与其他导致神经根受压的脊柱病变相似。45.3%;L5-S1,37.7%)。手术是大多数患者(80%)的首选治疗方法。在整个队列中,79.1% 的患者完全康复。在日常实践中很少观察到充气假性囊肿。它们主要出现在 60 多岁的男性中。使用适当的成像进行精确的鉴别诊断将有助于临床医生正确治疗患者。充气假性囊肿的治疗应与其他导致神经根受压的脊柱病变相似。45.3%;L5-S1,37.7%)。手术是大多数患者(80%)的首选治疗方法。在整个队列中,79.1% 的患者完全康复。在日常实践中很少观察到充气假性囊肿。它们主要出现在 60 多岁的男性中。使用适当的成像进行精确的鉴别诊断将有助于临床医生正确治疗患者。充气假性囊肿的治疗应与其他导致神经根受压的脊柱病变相似。使用适当的成像进行精确的鉴别诊断将有助于临床医生正确治疗患者。充气假性囊肿的治疗应与其他导致神经根受压的脊柱病变相似。使用适当的成像进行精确的鉴别诊断将有助于临床医生正确治疗患者。充气假性囊肿的治疗应与其他导致神经根受压的脊柱病变相似。

更新日期:2021-09-20
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