Turkish Neurosurgery 2019 , Vol 29 , Num 4
Spinal Epidural Venous Angioma Presenting Symtomps of Lumbar Disc Herniation: A Case Report
Eyup BAYKARA1,Mustafa KORUCU2,Mevci OZDEMIR3,Sevki GOK4
1Kars Harakani State Hospital, Department of Neurosurgery, Kars,Turkey
2Viransehir State Hospital, Department of Neurosurgery, Sanliurfa, Turkey
3Private Denizli Cerrahi Hospital, Department of Neurosurgery, Denizli, Turkey
4Medical Park Silivri Hospital, Department of Neurosurgery, Istanbul, Turkey
DOI : 10.5137/1019-5149.JTN.23081-18.2 Spinal epidural venous angiomas are extremely rare. We report the case of a 60-year-old man who presented with disc herniation symptoms, complaining of pain in his left leg and numbness, especially at the base of the knee. On physical examination, the Lasègue test was positive at 45 degrees on the left side and no neurological deficit was detected on the lower extremity. Contrast enhanced magnetic resonance imaging revealed a lesion in the left S1 neural foramen, which was initially evaluated as a schwannoma. However, after the lesion was totally excised, it was pathologically identified as a venous angioma. Here, the clinical presentation, management, and surgical, radiological, and pathological features are discussed. Keywords : Spinal epidural venous angioma, Lasègue test, Disc herniation, Lumbar spine
Corresponding author : Eyup BAYKARA, dr.eyupbaykara@hotmail.com