• J Spinal Disord · Dec 2000

    Case Reports

    Acute cauda equina syndrome caused by a gas-containing prolapsed intervertebral disk.

    • T A Mehta and D J Sharp.
    • Trauma and Orthopaedic Directorate, The Ipswich Hospital NHS Trust, United Kingdom.
    • J Spinal Disord. 2000 Dec 1; 13 (6): 532-4.

    AbstractGas production as a part of disk degeneration can occur, but it rarely causes clinical nerve compression syndromes. A rare case of gaseous degeneration in a prolapsed lumbar intervertebral disk causing acute cauda equina syndrome is described. Radiologic features and intraoperative findings are reported. A 78-year-old woman with severe lumbar canal stenosis had acute cauda equina syndrome. Magnetic resonance imaging revealed a large disk protrusion, and she underwent an urgent operation for this. Surgery confirmed the severe lumbar canal stenosis, but the disk prolapse contained gas that had caused the nerve compression.

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