Spinal Epidural varicosity resembling prolapsed intervertebral disc on MRI: A diagnostic dilemma for lumbar canal stenosis
- Journal of Neurology & Stroke
Vijay Kumar Raut,1 Akhlaque Hossain Khan,1 Mamun Ahmad,1 Sumit Barua,1 Nazmin Ahmed,1 Shahidul Islam Khan,2 Nwoshin Jahan,1 Bipin Chaurasia1
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Sciatica is generally caused by such well-recognized entity as lumbar disc herniation in neurosurgical practice. However rare pathologies such as epidural varices may mimic them by causing radicular symptoms. In this case report, we present a 20-years-old man with the complaint of low back pain and bilateral sciatica (Lt>Rt) & neurogenic claudication who was operated for right L5–S1 disc herniation. The lesion interpreted as an extruded disc herniation preoperatively on MRI but was found to be an epidural varix compressing the nerve roots intraoperatively. The varicosity of veins was found in epidural space causing canal stenosis.
spinal epidural varicosity, intervertebral disc, canal stenosis