Turkish Neurosurgery
2015 , Vol 25 , Num 5
Lumbar Epidural Varicose Vein: Early Neurological Improvement and Late Radiological Full Recovery with Surgery; The Importance of Magnetic Resonance Imaging in Follow-Up
1Ministry of Health, Ankara Training and Research Hospital, Department of Neurosurgery, Ankara, Turkey2Acıbadem Hospital, Department of Radiology, Ankara, Turkey DOI : 10.5137/1019-5149.JTN.11226-14.0 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. Keywords : Lumbar epidural varicose vein, Magnetic resonance imaging, Surgery