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자료유형
학술저널
저자정보
Shin Jiyong (Jeju National University School of Medicine) Oh Nawon (Jeju National University School of Medicine) Huh Jisoon (Jeju National University School of Medicine) 현창림 (제주대학교) Kim Joong-Goo (Jeju National University School of Medicine) 강사윤 (제주대학교) Oh Jung-Hwan (Jeju National University School of Medicine)
저널정보
대한신경집중치료학회 Journal of Neurocritical Care Journal of Neurocritical Care Vol.13 No.2
발행연도
2020.1
수록면
133 - 136 (4page)

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Background: Lumbar epidural varix (LEV) is a very rare condition caused by dilatation of the vertebral venous plexus. LEV can result in lumbosacral radiculopathy, which is often mistaken for lumbosacral herniated intervertebral disc (HIVD). Case Report: A 72-year-old man visited the emergency department (ED) with radiating pain of the right leg that had developed 3 weeks previously. Before the ED visit, he was diagnosed with lumbosacral radiculopathy due to HIVD based on lumbar X-rays at an outpatient clinic. Despite conservative treatment, his symptoms deteriorated. On magnetic resonance imaging at the ED, an epidural cystic mass in the right L5–S1 with multiple HIVDs was observed. The mass was surgically removed, and the histological findings showed a dilated vessel with a thrombus, which led to the final diagnosis of LEV. Conclusion: In lumbosacral radiculopathy, LEV should be considered as a possibility even if degenerative spine disease is observed on lumbar X-rays.

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