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Journals / Turkish Neurosurgery / 2015 / Cilt: 25 - Sayı: 5

Lumbar Epidural Varicose Vein: Early Neurological Improvement and Late Radiological Full Recovery with Surgery; The Importance of Magnetic Resonance Imaging in Follow-Up

Lomber Epidural Venöz Varis: Cerrahi ile Erken Nörolojik İyileşme ve Geç Radyolojik Tam Düzelme; İzlemde Manyetik Rezonans Görüntülemenin Önemi

Haydar ÇELİK
Yavuz ERDEM
Mete KARATAY
Mehmet YÖRÜBULUT
Tansu GURSOY
İdris SERTBAŞ
Mehmet Akif BAYAR
Pages
824–827
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We emphasize the importance of MRI in follow-up.

📌 3 Key Takeaways

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Objective & Hypothesis:A lumbar epidural varicose vein is a rare clinical condition that can lead to neurological deficits. 3 types of lumbar epidural varicose veins were described according to the magnetic resonance imaging (MRI) findings: Type 1 is a thrombosed dilated epidural vein, type 2 is a non-thrombosed dilated epidural vein and type 3 is a sub-membraneous epidural hematoma.
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Key Findings & Data:Enlarged epidural venous plexuses must be decompressed if they have lead to a neurological deficit.
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Conclusion & Impact:We emphasize the importance of MRI in follow-up.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

A lumbar epidural varicose vein is a rare clinical condition that can lead to neurological deficits. 3 types of lumbar epidural varicose veins were described according to the magnetic resonance imaging (MRI) findings: Type 1 is a thrombosed dilated epidural vein, type 2 is a non-thrombosed dilated epidural vein and type 3 is a sub-membraneous epidural hematoma. Enlarged epidural venous plexuses must be decompressed if they have lead to a neurological deficit. Surgical treatment is by excision or disrupting the cyst's integrity. We present a case of lumbar epidural varicose vein that was surgically treated twice and showed no radiological change despite the disruption of integrity with a partial excision. The lesion spontaneously and completely disappeared in the late period. We emphasize the importance of MRI in follow-up.

Özet

Lomber epidural varis nadir görülen ve hastalarda nörolojik defisitlere yol açabilen klinik bir durumdur. Lomber epidural varislerin manyetik rezonans görüntüleme (MRG) bulgularına göre 3 tipi tanımlanmıştır: Tip 1: tromboze dilate epidural ven Tip 2: nontromboze dilate epidural ven Tip 3: submembranöz epidural hematom. Genişlemiş epidural venöz pleksuslar hastalarda nörolojik defisite yol açtıysa mutlaka dekomprese edilmelidir Cerrahi tedavi ile eksize edilerek veya bütünlükleri bozularak hastaların cerrahi kondisyonları düzeltilebilir. Yazımızda iki kez cerrahi olarak tedavi edilen ve parsiyel eksizyonla bütünlüğü bozulmasına rağmen radyolojik olarak değişim göstermeyen ancak geç dönemde spontan tamamen ortadan kaybolan bir lomber epidural varis olgusu sunduk ve MRG'nin takipteki önemini vurgulamaya çalıştık.

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Cite This Article

ÇELİK, H., ERDEM, Y., KARATAY, M., YÖRÜBULUT, M., GURSOY, T., SERTBAŞ, İ., BAYAR, M. A. (2015). Lumbar Epidural Varicose Vein: Early Neurological Improvement and Late Radiological Full Recovery with Surgery; The Importance of Magnetic Resonance Imaging in Follow-Up. Turkish Neurosurgery, Cilt: 25 - Sayı: 5, 824–827. https://ajindex.com/articles/404753

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References (1)

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