Lumboradiculopathy due to epidural varices: two case reports and a review of the literature

被引：25

作者：

Genevay, S ^{[1
]}

Palazzo, E

Huten, D

Fossati, P

Meyer, O

机构：

[1] Hop Xavier Bichat, Dept Rheumatol, Paris, France

[2] Hop Xavier Bichat, Dept Radiol, Paris, France

[3] Hop Xavier Bichat, Dept Orthopaed, Paris, France

来源：

JOINT BONE SPINE | 2002年 / 69卷 / 02期

关键词：

epidural veins; lumbar; radiculopathy; varix;

D O I：

10.1016/S1297-319X(02)00376-7

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 difficulty 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.

引用

页码：214 / 217

页数：4