Document Detail


Intractable radicular and low back pain secondary inferior vena cava stenosis associated with Budd-Chiari syndrome: endovascular treatment with cava stenting: case report and review of the literature.
MedLine Citation:
PMID:  16721285     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: The present report describes treatment of enlarged lumbar epidural veins in a patient with Budd-Chiari syndrome presenting with intractable radicular and low back pain. OBJECTIVE: To present a rare cause of radicular pain. To offer a case successfully to be treated with stenting of inferior vena cava stenosis. SUMMARY OF BACKGROUND DATA: Epidural venous engorgements due to inferior vena cava thrombosis have been described previously in the literature. To the authors' knowledge, this is the first case of inferior vena cava stenosis to be treated with stenting. METHODS: An 27-year-old woman presented with intractable radicular and low back pain refractory to medical treatment. She was diagnosed with Budd-Chiari syndrome for 23 years. A venography revealed severe stenosis at the hepatic portion of the inferior vena cava causing symptomatic lumbar epidural venous engorgements. RESULTS: Inferior vena cava stenosis was dilatated with endovascular stenting. Her symptoms were completely resolved after this procedure. CONCLUSIONS: Inferior vena cava stenosis related to hypertrophied caudate lobe producing lumbar epidural venous engorgements should be considered as one of the causes of radicular and low back pain. We could obtain a favorable clinical outcome by handling the primary cause of the venous engorgement.
Authors:
Gökhan Bozkurt; Barbaros Cil; Atilla Akbay; Cezmi Cağri Türk; Selçuk Palaoğlu
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Spine     Volume:  31     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-24     Completed Date:  2006-07-05     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E383-6     Citation Subset:  IM    
Affiliation:
Institute of Neurological Sciences and Psychiatry, Department of Neurosurgery and Radiology, Hacettepe University, School of Medicine, Ankara, Turkey. gbozkurt@hacettepe.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adult
Budd-Chiari Syndrome / complications*
Constriction, Pathologic
Female
Humans
Low Back Pain / diagnosis,  etiology*
Magnetic Resonance Imaging
Pain, Intractable / etiology*
Radiculopathy / etiology*
Stents*
Tomography, X-Ray Computed
Vascular Diseases / complications*,  diagnosis,  etiology,  therapy
Vena Cava, Inferior*

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