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A magnetic resonance imaging (MRI) of the lumbar spine revealed a low-signal-density lesion compressing the L5 nerve. A computed tomography scan was then ordered, confirming an extra-foraminal disc protrusion at the L5\u2013S1 level, containing a focus of gas that was compressing the left L5 nerve root and communicating with the vacuum disc at L5\u2013S1. After a failed left L5 transforaminal epidural steroid injection, the patient was brought back for a percutaneous intradiscal aspiration of the vacuum disc gas. This resulted in immediate relief for the patient. A follow-up MRI performed 2 months after the procedure found an approximate 25% reduction in the size of the vacuum disc herniation. Six months after the procedure, the patient remains free of radicular pain. This case report suggests that a percutaneous aspiration of gas from a vacuum disc herniation may assist in the treatment of radicular pain.<\/jats:p>","DOI":"10.1007\/s11420-010-9168-x","type":"journal-article","created":{"date-parts":[[2010,8,3]],"date-time":"2010-08-03T11:15:26Z","timestamp":1280834126000},"page":"89-93","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Percutaneous Intradiscal Aspiration of a Lumbar Vacuum Disc Herniation: A Case Report"],"prefix":"10.1177","volume":"7","author":[{"given":"Kevin I.","family":"Pak","sequence":"first","affiliation":[{"name":"Physiatry Department, Hospital for Special Surgery, 523 East 72nd Street, 2nd Floor, 10021, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David C.","family":"Hoffman","sequence":"additional","affiliation":[{"name":"Physiatry Department, Hospital for Special Surgery, 523 East 72nd Street, 2nd Floor, 10021, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard J.","family":"Herzog","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital for Special Surgery, 535 East 70th Street, 10021, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory E.","family":"Lutz","sequence":"additional","affiliation":[{"name":"Physiatry Department, Hospital for Special Surgery, 523 East 72nd Street, 2nd Floor, 10021, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,2,1]]},"reference":[{"key":"bibr1-s11420-010-9168-x","doi-asserted-by":"publisher","DOI":"10.1007\/BF00341949"},{"key":"bibr2-s11420-010-9168-x","doi-asserted-by":"publisher","DOI":"10.1007\/BF01406292"},{"key":"bibr3-s11420-010-9168-x","doi-asserted-by":"publisher","DOI":"10.3109\/17453677408989177"},{"key":"bibr4-s11420-010-9168-x","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)31130-5"},{"key":"bibr5-s11420-010-9168-x","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.55B2.273"},{"issue":"4","key":"bibr6-s11420-010-9168-x","first-page":"477","volume":"44","author":"Burnei G","year":"2006","journal-title":"Rom J Intern Med"},{"key":"bibr7-s11420-010-9168-x","doi-asserted-by":"publisher","DOI":"10.1097\/01.ajp.0000210941.04182.ea"},{"key":"bibr8-s11420-010-9168-x","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2007.04.022"},{"key":"bibr9-s11420-010-9168-x","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200005150-00012"},{"key":"bibr10-s11420-010-9168-x","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1987.67.5.0643"},{"key":"bibr11-s11420-010-9168-x","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B5.3680327"},{"key":"bibr12-s11420-010-9168-x","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2007\/10\/291"},{"key":"bibr13-s11420-010-9168-x","doi-asserted-by":"crossref","unstructured":"Hidalgo-Ovejero AM, Martinez-Grande M, Garcia-Mata S. 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