Inferior vena cava thrombosis presenting as lumbar radiculopathy.
Lumbar epidural varices either primary or secondary to outflow obstruction have been implicated in causing lumbar radiculopathy. We report a case of an adolescent male who presented with lumbar radiculopathy attributable to thrombosed lumbar epidural varix as a result of inferior vena cava thrombosis emanating from factor V Leiden mutation. This rare cause of radiculopathy was diagnosed on contrast-enhanced computerized tomography. All symptoms resolved shortly after initiation of intravenous heparin therapy. The relevant literature is reviewed.
Floman
Yizhar
Y
Israel Spine Center, Assuta Hospital, Tel Aviv, Israel.
Smorgick
Yossi
Y
Rand
Nahshon
N
Bar-Ziv
Jacob
J
D000293:Adolescent; D000925:Anticoagulants / Q000627:therapeutic use; D005165:Factor V / Q000235:genetics; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male; D011843:Radiculopathy / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D014682:Vena Cava, Inferior; D020246:Venous Thrombosis / Q000150:complications* / Q000188:drug therapy / Q000235:genetics
D000925:Anticoagulants; C095381:factor V Leiden; D005165:Factor V; D006493:Heparin