Lumbar Epidural Varix Mimicking Disc Herniation
| Autor: | Adem Bursali, Goktug Akyoldas, Onur Yaman, Ahmet Burak Guvenal |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Nerve root Decompression Case Report Lesion 03 medical and health sciences 0302 clinical medicine Lumbar medicine Varix Radiculopathy business.industry General Neuroscience Venous plexus 030220 oncology & carcinogenesis Epidural Surgery Neurology (clinical) Radiology medicine.symptom Differential diagnosis Varices business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Korean Neurosurgical Society |
| ISSN: | 1598-7876 2005-3711 |
| Popis: | Lumbar radiculopathy is generally caused by such well-recognized entity as lumbar disc herniation in neurosurgical practice; however rare pathologies such as thrombosed epidural varix may mimic them by causing radicular symptoms. In this case report, we present a 26-year-old man with the complaint of back and right leg pain who was operated for right L4-5 disc herniation. The lesion interpreted as an extruded disc herniation preoperatively was found to be a thrombosed epidural varix compressing the nerve root preoperatively. The nerve root was decompressed by shrinking the lesion with bipolar thermocoagulation and excision. The patient's complaints disappeared in the postoperative period. Thrombosed lumbar epidural varices may mimic lumbar disc herniations both radiologically and clinically. Therefore, must be kept in mind in the differential diagnosis of lumbar disc herniations. Microsurgical techniques are mandatory for the treatment of these pathologies and decompression with thermocoagulation and excision is an efficient method. |
| Databáze: | OpenAIRE |
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