Lumbar epidural varicose vein: Early neurological improvement and late radiological full recovery with surgery; The importance of magnetic resonance imaging in follow-up

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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.

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Celik, H., Erdem, Y., Karatay, M., Yorubulut, M., Gursoy, T., Sertbas, I., & 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, 25(5), 824–827. https://doi.org/10.5137/1019-5149.JTN.11226-14.0

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