Document Detail


Lumboradiculopathy due to epidural varices: two case reports and a review of the literature.
MedLine Citation:
PMID:  12027315     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Lumbar radicular pain caused by epidural varices is rare. Its incidence is evaluated at 4.5% of operations for disc herniation. We report 2 cases which were only diagnosed during surgery for a herniated disk as is usually observed in the literature. The mechanism behind radicular pain is not fully understood. It may be compression by the varix itself but it may also be secondary to diffculty in venous return. Several anatomical types are described: thrombosed varix (type 1), non thrombosed varix (type 2), localized hematoma (type 3). Our 2 cases corresponded to type 2. The diagnosis can established by MRI at the pre-operative stage. The images vary according to the anatomical type and the age of the lesions. Treatment is by surgery.
Authors:
Stéphane Genevay; Elisabeth Palazzo; Denis Huten; Patrick Fossati; Olivier Meyer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Joint, bone, spine : revue du rhumatisme     Volume:  69     ISSN:  1297-319X     ISO Abbreviation:  Joint Bone Spine     Publication Date:  2002 Mar 
Date Detail:
Created Date:  2002-05-24     Completed Date:  2002-11-07     Revised Date:  2006-10-11    
Medline Journal Info:
Nlm Unique ID:  100938016     Medline TA:  Joint Bone Spine     Country:  France    
Other Details:
Languages:  eng     Pagination:  214-7     Citation Subset:  IM    
Affiliation:
Department of Rheumatology, Bichat Hospital, Paris, France. elisabeth. palazzo@bch.ap-hop-paris.fr
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MeSH Terms
Descriptor/Qualifier:
Aged
Decompression, Surgical
Epidural Space / blood supply*,  surgery
Female
Humans
Lumbar Vertebrae / radiography,  surgery
Lumbosacral Region / surgery
Magnetic Resonance Imaging
Myelography
Radiculopathy / etiology*,  radiography,  surgery
Tomography, X-Ray Computed
Varicose Veins / complications*,  pathology,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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