{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T17:37:41Z","timestamp":1762018661817,"version":"build-2065373602"},"reference-count":0,"publisher":"American Society of Interventional Pain Physicians","issue":"20;3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Phys"],"published-print":{"date-parts":[[2017,3,8]]},"abstract":"<jats:p>The isolated epidural gas-containing pseudocyst is an uncommon pathogenic factor for severe\npain of the lower limb as a result of nerve root compression. After reviewing these rare cases\nreported in the literature, we found that the name, pathogenesis, and treatment strategy of\nthis pathology remained controversial. The most common treatment is conservative treatment\nor percutaneous aspiration which might result in poor pain relief and high recurrence rates.\nMoreover, the patient who received open surgery had good clinical outcome; however, he or\nshe might experience a significant soft tissue injury.\nIn this study, we report the first case of a patient who had a giant epidural gas-containing\npseudocyst and received percutaneous endoscopic surgery. This 57-year-old man had been\ncomplaining of severe radicular pain in his right ankle for one year. According to computed\ntomography (CT) and magnetic resonance imaging (MRI) prior to the surgery, the results\nshowed an isolated epidural gas-containing pseudocyst was located in the right lateral recess of\nS1. At the last follow-up period, postoperative CT scan showed the gas-contained pseudocyst\nwas completely resected and this patient was free from the pain.\nDue to the great advances in endoscopic techniques and equipment, it is easier to perform\nlumbar surgery through the endoscope. With this first case of percutaneous endoscopic\ntreatment for the symptomatic epidural gas-containing pseudocyst reported in this study, we\nbelieve that this surgical method provides an option to treat this rare condition because it\nprovides sufficient decompression, has a low recurrence rate, and is minimally invasive.\nKey words: Endoscopic surgery, pseudocyst, epidural gas, intraspinal gas, radiulopathy<\/jats:p>","DOI":"10.36076\/ppj.2017.e449","type":"journal-article","created":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T20:44:20Z","timestamp":1579121060000},"page":"E445-E449","source":"Crossref","is-referenced-by-count":5,"title":["Transforaminal Endoscopic Decompression for\na Giant Epidural Gas-Containing Pseudocyst: A\nCase Report and Literature Review"],"prefix":"10.36076","volume":"3","author":[{"suffix":"MD","given":"Xiao Guang","family":"Liu","sequence":"first","affiliation":[{"name":"Peking University Third Hospital, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"21814","published-online":{"date-parts":[[2017,3,10]]},"container-title":["Pain Physician"],"original-title":[],"language":"en","deposited":{"date-parts":[[2020,1,15]],"date-time":"2020-01-15T20:44:22Z","timestamp":1579121062000},"score":1,"resource":{"primary":{"URL":"https:\/\/painphysicianjournal.com\/current\/pdf?article=NDMyMA%3D%3D&journal=104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,8]]},"references-count":0,"issue-title":["March 2017"],"journal-issue":{"issue":"20;3","published-online":{"date-parts":[[2017,3,5]]},"published-print":{"date-parts":[[2017,3,5]]}},"URL":"https:\/\/doi.org\/10.36076\/ppj.2017.e449","archive":["Internet Archive","Internet Archive"],"relation":{},"ISSN":["2150-1149","1533-3159"],"issn-type":[{"type":"electronic","value":"2150-1149"},{"type":"print","value":"1533-3159"}],"subject":[],"published":{"date-parts":[[2017,3,8]]}}}