Epidural venous enlargements presenting with intractable lower back pain and sciatica in a patient with absence of the infrarenal inferior vena cava and bilateral deep venous thrombosis

Spine
Oliver DudeckBernd Hamm

Abstract

Case report. To present a rare anomaly of the inferior vena cava associated with radicular pain and to illustrate its imaging characteristics. Irritation of the trigeminal nerve by vascular anomalies, resulting in neuralgia is a well-recognized entity. Recently, compression of peripheral nerve roots due to enlarged epidural venous plexus has been described as a possible cause of back and radicular pain, too. A 26-year-old man presented with acute exacerbation of lower back pain associated with radiculopathy down his left thigh. On radiologic workup, a prolapse of a lumbar intervertebral disc was ruled out, but agenesis of the infrarenal segment of the inferior vena cava was found, which has caused bilateral deep venous thrombosis. Venous flow was redirected mainly via enlarged lumbar epidural, ascending lumbar, and paravertebral veins. No associated congenital heart or abdominal organ defects were found and screening for thrombophilia was negative. The patient was successfully treated with anticoagulation under which symptoms gradually resolved. The authors believe that epidural venous enlargements should be considered as a cause of radicular and/or back pain in patients with anomalies of the inferior vena cava, because patholo...Continue Reading

References

Oct 1, 1987·Archives of Surgery·E D Baldridge, A J Canos
Jan 1, 1969·Progress in Biophysics and Molecular Biology·A C North, D C Phillips
Sep 15, 1994·Spine·E N HanleyJ M Coumas
Jul 15, 1997·Spine·D D OhnmeissJ Ekholm
Jun 2, 2000·Radiographics : a Review Publication of the Radiological Society of North America, Inc·J E BassJ H Harris
May 2, 2001·Journal of Vascular Surgery·T RamanathanA J Richardson
Jan 5, 2002·Annals of Internal Medicine·Andrea ObernostererRainer W Lipp
Feb 20, 2003·AJR. American Journal of Roentgenology·G GayerS Apter
Apr 26, 2003·International Journal of Cardiology·Antonio D'AloiaLivio Dei Cas
Feb 17, 2005·Annals of Vascular Surgery·Niyazi GormusHasan Solak
Jul 30, 2005·Journal of Thrombosis and Thrombolysis·Naohumi TakeharaKenjiro Kikuchi
Mar 3, 2006·Journal of Neurosurgery·A Alex MohitAnthony M Avellino

❮ Previous
Next ❯

Citations

Nov 3, 2011·Journal of Medical Case Reports·Stefan Endres
Nov 26, 2011·Journal of Neurosurgery. Spine·Mayshan GhiassiOran Aaronson
Sep 3, 2013·Annals of Vascular Surgery·Nedaa SkeikTimothy M Sullivan
Sep 14, 2011·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·P V J M HooglandS H Kotzé
Apr 14, 2016·Joint, Bone, Spine : Revue Du Rhumatisme·Christelle Darrieutort-LaffiteBenoît Le Goff
Feb 28, 2015·Case Reports in Radiology·Fuldem Yildirim Donmez
Jun 7, 2013·Asian Spine Journal·Serhat PusatYusuf Izci
Mar 25, 2017·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·John C VernonRodrigo Gutierrez-Quintana
Aug 31, 2012·The Journal of Bone and Joint Surgery. British Volume·H DabasiaR Marshall
May 1, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Il-Kyu ImDu Hwan Kim
Dec 19, 2018·Radiologia brasileira·Eduardo Pontes ReisFabiano Reis
Feb 24, 2017·Frontiers in Veterinary Science·Kathryn E RhueRandolph L Winter
Oct 14, 2020·World Neurosurgery·Kennedy CarpenterR Shane Tubbs
May 18, 2018·World Neurosurgery·Kazuaki YamamotoTaisuke Kawasaki

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.