Radikülopati ve bel ağrısı ile ortaya çıkan ve lomber disk herniasyonunu taklit eden epidural venöz pleksus genişlemesi olgusu

Year 2020, , 53 - 55, 19.08.2020

Yakup Erden , Nurullah Dağ Rumeysa Samancı

https://doi.org/10.46332/aemj.782774

Abstract

Bel ağrısı ve radikülopati ile ortaya çıkan epidural venöz pleksus genişlemesi, sinir kökleri sıkışmalarının nadir bir nedenidir. Lomber epidural varisler klinik ve radyolojik olarak lomber disk hernisini taklit edebilir. Bu nedenle, kalıcı semptomlara yol açan tanı sıklıkla gözden kaçırılır veya ertelenir. Biz, tıbbi tedaviye yanıt vermeyen, aralıklı bel ağrısı ve radikülopatili genç bir kadın hastayı sunuyoruz.

Keywords

Epidural venöz pleksus genişlemesi, lomber disk hernisi, radikülopati, bel ağrısı

A case of epidural venous plexus enlargement presenting with radiculopathy and low back pain mimicking lumbar disc herniation

Abstract

Epidural venous plexus enlargement, presenting with low back pain and radiculopathy, is a rare cause of nerve roots impingement. Lumbar epidural varices can mimic as a lumbar disc herniation clinically and radiologically. For this reason, the diagnosis is commonly missed or delayed leading to persistent symptoms. We present a young female patient with intermittent low back pain and radiculopathy, unresponsive to medical treatment.

Keywords

Epidural venous plexus enlargement, lumbar disc herniation, radiculopathy, low back pain

References

• 1. Moonis G, Hurst RW, Simon SL, Zager EL. Intradural venous varix: a rare cause of an intradural lumbar spine lesion. Spine. 2003;28(20):430-432.
• 2. Ju JH, Ha HG, Jung CK et al. Patterns of epidural venous varicosity in lumbar stenosis. Korean J Spine. 2012;9(3):244-249.
• 3. Donmez FY. Epidural venous plexus engorgement: what lies beneath? Case Rep Radiol. 2015;2015:965106.
• 4. Bursalı A, Akyoldas G, Guvenal AB, Yaman O. Lumbar epidural varix mimicking disc erniation. J Korean Neurosurg Soc. 2016;59(4):410-413.
• 5. Takahashi K, Kagechika K, Takino T, Matsui T, Miyazaki T, Shima I. Changes in epidural pressure during walking in patients with lumbar spinal stenosis. Spine. 1995;20(24):2746-2790.
• 6. Genevay S, Palazzo E, Huten D, Fossati P, Meyer O. Lumboradiculopathy due to epidural varices: two case reports and a review of the literatüre. Joint Bone Spine. 2002;69(2):214-217.
• 7. Atalay B, Atalay A. Chronic low-back pain due to epidural varices: a case based review of the literature. Yeditepe Med J. 2011;5(19):429-432.