Home Magazines Editors-in-Chief FAQs Contact Us

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

PDF Full Text

Abstract

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.

Keywords

spinal epidural varicosity, intervertebral disc, canal stenosis

Testimonials