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Lumbar Epidural Varix Causing Radicular Pain: A Case Report and Differential Diagnosis of Lumbar Cystic Lesions

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Author(s)
Il-Kyu ImEun-Seok SonDu Hwan Kim
Keimyung Author(s)
Son, Eun SeokKim, Du Hwan
Department
Dept. of Rehabilitation Medicine (재활의학)
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Case Presentation
Issued Date
2018
Volume
10
Issue
11
Abstract
Lumbar epidural varices are a rare cause of radicular pain mimicking lumbar disc herniation or other cyst-like masses including sequestrated disc herniation, facet joint synovial cyst, or perineural cyst. We report a case of a 36-year-old woman presenting with lumbar radicular pain caused by a lumbar epidural varix. Lumbar magnetic resonance imaging (MRI) revealed a cystic lesion in the ventral epidural space posterior to the right L4 body. Surgery was conducted and histopathology confirmed the diagnosis of an epidural varix. Lumbar epidural varices and other lumbar cystic lesions can commonly cause radicular pain. Physicians will benefit from increased awareness of epidural varices as a cause of lumbosacral radicular pain and the associated radiologic findings supporting differential diagnosis. In particular, careful interpretation of MRI scans may help ensure proper diagnosis of an epidural varix versus other cystic lesions.
Keimyung Author(s)(Kor)
손은석
김두환
Publisher
School of Medicine (의과대학)
Citation
Il-Kyu Im et al. (2018). Lumbar Epidural Varix Causing Radicular Pain: A Case Report and Differential Diagnosis of Lumbar Cystic Lesions. Case Presentation, 10(11), 1283–1287. doi: 10.1016/j.pmrj.2018.04.002
Type
Article
ISSN
1934-1482
Source
https://www.sciencedirect.com/science/article/pii/S1934148218302132
DOI
10.1016/j.pmrj.2018.04.002
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41342
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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