Öz
Vakum fenomeni vücutta intervertebral bölgede gaz birikimi olmasıdır. Bu gaz görüntüsü snoviyal boşlukta, intervertebral diskte
ve vertebrada radyolüsen alan olarak görülür. Gazın çoğunluğunu
nitrojen oluşturmaktadır. Etyolojide sıklıkla intervertebral disk dejenerasyonu suçlanır. Mekanizması bilinmemektedir. Acil servise bel
ağrısı nedeniyle başvuran, özellikle disk dejenerasyonu olan yaşlı
hastaların, direk grafi ve vertebra tomografilerinde vakum fenomeni görülebilir.
Anahtar Kelimeler
Kaynakça
- Stäbler A, Schneider P, Link TM, Schöps P, Springer OS, Dürr HR, et al. Intravertebral vacuum phenomenon following fractures: CT study on frequency and etiology. J Comput Assist Tomogr 1999; 23: 976-80. [Crossref]
- Stallenberg B, Madani A, Burny F, Gevenois PA. The Vacuum Phenom- enon: A CT Sign of Nonunited Fracture. AJR Am J Roentgenol 2001; 176: 1161-4. [Crossref]
- Gulati AN, Weinstein ZR. Gas in the spinal canal in association with the Lum- bosacral Vacuum Phenomenon: CT findings. Neuroradiology 1980; 20: 191-2. [Crossref]
- Larde D, Mathieu D, Frija J, Gaston A, Vasile N. Spinal vacuum phenom- enon: CT diagnosis and significance. J Comput Assist Tomogr 1982; 6: 671-6. [Crossref]
- Golimbu C, Firooznia H, Rafii M. The intravertebral vacuum sign. Spine 1986; 11: 1040-3. [Crossref]
- Lafforgue P, Chagnaud C, Daumen-Legre V, Daver L, Kasbarian M, Ac- quaviva PC. The intravertebral vacuum phenomenon (‘vertebral osteo- necrosis’): migration of intradiscal gas in a fractured vertebral body? Spine 1997; 22: 1885-91. [Crossref]
- Feng SW, Chang MC, Wu HT, Yu JK, Wang ST, Liu CL. Are intravertebral vacuum phenomena benign lesions? Eur Spine J 2011; 20: 1341-8. [Crossref]
- Morishita K, Kasai Y, Uchida A. Clinical symptoms of patients with inter- vertebral vacuum phenomenon. Neurologist 2008; 14: 37-9. [Crossref]
- Van Bockel SR, Mindelzun RE. Gas in the psoas muscle secondary to an intravertebral vacuum cleft: CT characteristics. J Comput Assist Tomogr 1987; 11: 913-5. [Crossref]
- Yasuoka H, Nemoto O, Kawaguti M, Naitou S, Yamamoto K, Ukegawa Y. An unusual case of nerve root compression by intradiscal gas pseudo- cyst of the lumbar spine. J R Army Med Corps 2010; 156: 47-8. [Crossref] 69
Öz
Vacuum phenomenon is the accumulation of gas in the intervertebral region. This gas image is seen as a radiolucent area in the synovial space, intervertebral discs and vertebrae. The majority of the gas is nitrogen. Intervertebral disc degeneration is often accused on etiology. The mechanism is unknown. Vacuum phenomenon can especially be seen from radiography and spine tomography in elderly patients with disc degeneration who are admitted to the emergency room because of back pain
Anahtar Kelimeler
Kaynakça
- Stäbler A, Schneider P, Link TM, Schöps P, Springer OS, Dürr HR, et al. Intravertebral vacuum phenomenon following fractures: CT study on frequency and etiology. J Comput Assist Tomogr 1999; 23: 976-80. [Crossref]
- Stallenberg B, Madani A, Burny F, Gevenois PA. The Vacuum Phenom- enon: A CT Sign of Nonunited Fracture. AJR Am J Roentgenol 2001; 176: 1161-4. [Crossref]
- Gulati AN, Weinstein ZR. Gas in the spinal canal in association with the Lum- bosacral Vacuum Phenomenon: CT findings. Neuroradiology 1980; 20: 191-2. [Crossref]
- Larde D, Mathieu D, Frija J, Gaston A, Vasile N. Spinal vacuum phenom- enon: CT diagnosis and significance. J Comput Assist Tomogr 1982; 6: 671-6. [Crossref]
- Golimbu C, Firooznia H, Rafii M. The intravertebral vacuum sign. Spine 1986; 11: 1040-3. [Crossref]
- Lafforgue P, Chagnaud C, Daumen-Legre V, Daver L, Kasbarian M, Ac- quaviva PC. The intravertebral vacuum phenomenon (‘vertebral osteo- necrosis’): migration of intradiscal gas in a fractured vertebral body? Spine 1997; 22: 1885-91. [Crossref]
- Feng SW, Chang MC, Wu HT, Yu JK, Wang ST, Liu CL. Are intravertebral vacuum phenomena benign lesions? Eur Spine J 2011; 20: 1341-8. [Crossref]
- Morishita K, Kasai Y, Uchida A. Clinical symptoms of patients with inter- vertebral vacuum phenomenon. Neurologist 2008; 14: 37-9. [Crossref]
- Van Bockel SR, Mindelzun RE. Gas in the psoas muscle secondary to an intravertebral vacuum cleft: CT characteristics. J Comput Assist Tomogr 1987; 11: 913-5. [Crossref]
- Yasuoka H, Nemoto O, Kawaguti M, Naitou S, Yamamoto K, Ukegawa Y. An unusual case of nerve root compression by intradiscal gas pseudo- cyst of the lumbar spine. J R Army Med Corps 2010; 156: 47-8. [Crossref] 69
Ayrıntılar
| Diğer ID | JA66TM78BY |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Nisan 2013 |
| Gönderilme Tarihi | 1 Nisan 2013 |
| Yayımlandığı Sayı | Yıl 2013 Cilt: 4 Sayı: 2 |