Congenital dilation of the cervical epidural venous plexus: neuroradiology and endovenous management.
We report a case of a 15-year-old girl suffering from cervicobrachialgia who was admitted to our service due to an enlarged neural foramen suspicious for a neurinoma. The cervical phlebography, however, revealed a space-occupying dilated epidural vein with increased blood supply from the suboccipital venous plexus. Lesions like this are absolutely rare, presumably of congenital origin and have not been described before. The lesion was treated by feeder occlusion applying platinum coils and enbucrilate via the internal jugular vein.
Rodiek
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Department of Radiology and Nuclear Medicine, Academic Hospital München-Bogenhausen, Technical University of Munich, Germany. Ingrisch@extern.Lrz-muenchen.de
Schmidhuber
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Lumenta
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D000293:Adolescent; D020968:Brachial Plexus Neuritis / Q000175:diagnosis / Q000209:etiology; D002533:Cerebral Angiography / Q000379:methods; D002572:Cervical Plexus / Q000002:abnormalities*; D003937:Diagnosis, Differential; D004108:Dilatation, Pathologic / Q000151:congenital; D004621:Embolization, Therapeutic; D004824:Epidural Space / Q000098:blood supply*; D005260:Female; D006801:Humans; D013122:Spinal Diseases / Q000150:complications / Q000151:congenital / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D014680:Veins / Q000502:physiology*