Lumbar Epidural Varix Mimicking Disc Herniation.
10.3340/jkns.2016.59.4.410
- Author:
Adem BURSALI
1
;
Goktug AKYOLDAS
;
Ahmet Burak GUVENAL
;
Onur YAMAN
Author Information
1. Department of Neurosurgery, Balıkesir State Hospital, Balıkesir, Turkey.
- Publication Type:Case Report
- Keywords:
Epidural;
Lumbar;
Radiculopathy;
Varix;
Venous plexus
- MeSH:
Adult;
Decompression;
Diagnosis, Differential;
Electrocoagulation;
Humans;
Leg;
Methods;
Pathology;
Postoperative Period;
Radiculopathy;
Varicose Veins*
- From:Journal of Korean Neurosurgical Society
2016;59(4):410-413
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
