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Revue du rhumatisme
Volume 68, n° 9
pages 870-873 (octobre 2001)
Received : 4 December 2000 ;  accepted : 21 February 2001
La sciatique par bulle de gaz épidurale : quatre observations
Sciatica caused by epidural gas. Four case-reports.

Françoise  Giraud 1 ,  Aurélie  Fontana 1 ,  Joël  Mallet 2 ,  Louis P.  Fischer 2 ,  Pierre J.  Meunier 1 *
1Service de rhumatologie et de pathologie osseuse, pavillon F, hôpital Édouard-Herriot, place d'Arsonval, 69437 Lyon cedex, 03, France 
2service de chirurgie orthopédique et traumatologie, pavillon T, hôpital Édouard-Herriot, place d'Arsonval, 69437 Lyon cedex 03, France 

*Correspondance et tirés à part
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Nous rapportons quatre observations de sciatique par bulle de gaz compressive isolée. Une telle éventualité est rare puisque seuls 21 cas sont mentionnés dans la littérature. Les signes cliniques ne diffèrent pas de ceux de la sciatique discale commune, et les radiographies simples sont souvent peu parlantes. Le diagnostic est alors scanographique, montrant une collection épidurale hypodense venant refouler la racine nerveuse.

Mots clés  : discopathie dégénérative ; gaz épidural ; sciatique ; vide discal.

Abstract

We report four cases of sciatica caused by gas in the epidural space with no other abnormality. Only 21 similar cases have been reported. Clinical features are identical to those of common sciatica, and plain radiographs are often uninformative. Computed tomography shows a low-density epidural collection displacing the nerve root.

Mots clés  : degenerative disk disease ; epidural gas ; intradiscal vacuum phenomenon ; sciatica.




© 2001  Éditions scientifiques et médicales Elsevier SAS. All Rights Reserved.

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