title: Lumbar Epidural Varicose Vein: Early Neurological Improvement and Late Radiological Full Recovery with Surgery; The Importance of Magnetic Resonance Imaging in Follow-Up.
abstract: A lumbar epidural varicose vein is a rare clinical condition that can lead to neurological deficits. 3 types of lumbar epidural varicose veins were described according to the magnetic resonance imaging (MRI) findings: Type 1 is a thrombosed dilated epidural vein, type 2 is a non-thrombosed dilated epidural vein and type 3 is a sub-membraneous epidural hematoma. Enlarged epidural venous plexuses must be decompressed if they have lead to a neurological deficit. Surgical treatment is by excision or disrupting the cyst's integrity. We present a case of lumbar epidural varicose vein that was surgically treated twice and showed no radiological change despite the disruption of integrity with a partial excision. The lesion spontaneously and completely disappeared in the late period. We emphasize the importance of MRI in follow-up.
authors.affiliation: Ministry of Health, Ankara Training and Research Hospital, Department of Neurosurgery, Ankara, Turkey.
authors.forename: Haydar
authors.initials: H
authors.lastname: Celik
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Erdem
authors.forename: Mete
authors.initials: M
authors.lastname: Karatay
authors.forename: Mehmet
authors.initials: M
authors.lastname: Yorubulut
authors.forename: Tansu
authors.initials: T
authors.lastname: Gursoy
authors.forename: Idris
authors.initials: I
authors.lastname: Sertbas
authors.forename: Mehmet Akif
authors.initials: MA
authors.lastname: Bayar
mesh_terms: D000328:Adult; D019299:Decompression, Surgical; D004824:Epidural Space / Q000098:blood supply*; D005500:Follow-Up Studies; D006801:Humans; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014648:Varicose Veins / Q000473:pathology* / Q000601:surgery