Engorged anterior epidural venous plexus mimics an anterior epidural mass.
A 48-year-old woman presented with severe neck pain on flexion 1 week after a reportedly uncomplicated lumbar puncture, and with a slightly elevated white blood cell count. Magnetic resonance imaging showed an anterior epidural mass that was thought to represent an epidural abscess. At surgery, the epidural "mass" was due to an engorged anterior epidural venous plexus.
Department of Radiology, Indiana University School of Medicine, Indianapolis, IN, USA.
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Shinaver
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Caldemeyer
D000038:Abscess / Q000175:diagnosis; D003937:Diagnosis, Differential; D004388:Dura Mater / Q000098:blood supply* / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013118:Spinal Cord Diseases / Q000175:diagnosis; D014680:Veins / Q000473:pathology