| A rare calcified thrombosis of the dilated epidural venous plexus presenting with lumbar radiculopathy: a case report. | |
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MedLine Citation:
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PMID: 21296289 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND CONTEXT: Lumbar radiculopathies may occur in the course of many diseases but are rarely caused by abnormalities or pathologic changes in the epidural venous plexus. We describe a patient with lumbar radiculopathy attributable to a thrombolith of the epidural venous plexus, as diagnosed by computed tomography (CT) and magnetic resonance imaging (MRI), and who was treated by hemilaminectomy and removal of the thrombolith. PURPOSE: To document the first report of thrombolith in the dilated vertebral epidural venous plexus presenting as a lumbar radiculopathy. STUDY DESIGN/SETTING: A case report and literature review. METHODS: A 72-year-old woman presented with a 2-year history of back pain radiating to the left buttock without a history of any trauma. Lumbar spinal CT and MRI showed a calcified lesion in the left epidural space at the L1 level. RESULTS: The patient was treated by hemilaminectomy at the T12-L1 level and left epidural mass excision. Histopathology confirmed a thrombolith in the left epidural malformed venous plexus. CONCLUSIONS: A thrombolith causing a lumbar radiculopathy in the dilated epidural venous plexus is a rare condition. If CT or MRI shows a vertebral epidural calcified lesion, an epidural venous thrombolith may be included in the differential diagnosis. |
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Authors:
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Yeon Soo Lee; Eun Seok Choi; Jong Ok Kim; Jong Hoon Ji |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The spine journal : official journal of the North American Spine Society Volume: 11 ISSN: 1878-1632 ISO Abbreviation: Spine J Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101130732 Medline TA: Spine J Country: United States |
Other Details:
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Languages: eng Pagination: e28-31 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Radiology, Daejeon St. Mary's Hospital, The Catholic University of Korea, 520-2 Deaheung-dong, Jung-gu, Daejeon, 301-723, Republic of Korea. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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