Preoperative Transvenous Liquid Embolization for a Symptomatic Lumbar Spinal Epidural Varix Mimicking Radiculopathy.

Journal: Neurology India
Treatment Used: Transvenous Liquid Embolization
Number of Patients: 1
Published:
MediFind Summary

Summary: This case report describes a 15-year-old female with a symptomatic spinal epidural vein (SEV) treated with a transvenous liquid embolic agent.

Conclusion: A teen female with a symptomatic spinal epidural vein treated with a transvenous liquid embolic agent had temporary relief.

Abstract

Symptomatic spinal epidural veins (SEV) are a rare cause of neurologic dysfunction. Treatment is centered upon addressing the underlying venous pathology to relieve mechanical compression of the neurologic structures. However, open surgical ligation is often associated with considerable blood loss. We discuss a unique case of a large symptomatic epidural venous varix and potential treatment strategy. A 15-year-old female presented with a 1-year history of left L5 radicular pain and weakness. Lumbar MRI demonstrated a central L5/S1 herniated disc and a large extradural anomalous SEV compressing the exiting left L5 nerve root at the L5/S1 neuroformina. The SEV was treated using a transvenous liquid embolic agent providing symptomatic relief. At 16-months follow-up, she reported recurrent symptoms. She ultimately underwent a left L5/S1 MIS decompression without complication. Transvenous liquid embolization of large symptomatic SEV may provide temporary neurologic relief and decrease morbidity associated with open surgical treatment options.

Authors
Mena Kerolus, Dallas Kramer, Mazda Turel, Rabia Malik, Richard Fessler, Michael Chen
Relevant Conditions

Hernia, Herniated Disk, Varicose Veins

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