Nazmin Ahmed, Mohammad Nazrul Hossain, Shahidul Islam Khan, Md Raad Kazi
{"title":"巨大扩张/部分钙化硬膜外静脉曲张引起椎内神经压迫/坐骨神经痛。","authors":"Nazmin Ahmed, Mohammad Nazrul Hossain, Shahidul Islam Khan, Md Raad Kazi","doi":"10.25259/SNI_571_2025","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>A patient presented with lumbago/sciatica attributed to a magnetic resonance (MR)-documented hugely dilated, partially calcified, and extrinsically compressive epidural varicose vein (EVV).</p><p><strong>Case description: </strong>A 36-year-old male presented with 2 months of lumbago-sciatica; the only finding was a positive left-sided straight leg sign to 50°. The MR imaging demonstrated a hugely dilated, branching pattern flow void that caused marked displacement/compression of thecal sac and left S1 nerve root. The X-rays and computed tomography (CT) studies additionally showed a linear \"string of beads\" pattern of calcification at the L5/S1 level. Intraoperatively, an encapsulated, hugely dilated, compressive epidural vein was encountered; partial vein coagulation and gross total removal decompressed the neural elements. He recovered normal neurological function within 1 post-operative month.</p><p><strong>Conclusion: </strong>A 36-year-old male presented with left-sided sciatica attributed to an MR and CT documented hugely dilated, partially calcified L5/S1 EVV. Once the EVV was coagulated and removed, the patient's symptoms resolved.</p>","PeriodicalId":94217,"journal":{"name":"Surgical neurology international","volume":"16 ","pages":"315"},"PeriodicalIF":0.0000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477979/pdf/","citationCount":"0","resultStr":"{\"title\":\"Hugely dilated/partially calcified epidural varicose vein caused intraspinal neural compression/sciatica.\",\"authors\":\"Nazmin Ahmed, Mohammad Nazrul Hossain, Shahidul Islam Khan, Md Raad Kazi\",\"doi\":\"10.25259/SNI_571_2025\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>A patient presented with lumbago/sciatica attributed to a magnetic resonance (MR)-documented hugely dilated, partially calcified, and extrinsically compressive epidural varicose vein (EVV).</p><p><strong>Case description: </strong>A 36-year-old male presented with 2 months of lumbago-sciatica; the only finding was a positive left-sided straight leg sign to 50°. The MR imaging demonstrated a hugely dilated, branching pattern flow void that caused marked displacement/compression of thecal sac and left S1 nerve root. The X-rays and computed tomography (CT) studies additionally showed a linear \\\"string of beads\\\" pattern of calcification at the L5/S1 level. Intraoperatively, an encapsulated, hugely dilated, compressive epidural vein was encountered; partial vein coagulation and gross total removal decompressed the neural elements. He recovered normal neurological function within 1 post-operative month.</p><p><strong>Conclusion: </strong>A 36-year-old male presented with left-sided sciatica attributed to an MR and CT documented hugely dilated, partially calcified L5/S1 EVV. Once the EVV was coagulated and removed, the patient's symptoms resolved.</p>\",\"PeriodicalId\":94217,\"journal\":{\"name\":\"Surgical neurology international\",\"volume\":\"16 \",\"pages\":\"315\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477979/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgical neurology international\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.25259/SNI_571_2025\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical neurology international","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25259/SNI_571_2025","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Background: A patient presented with lumbago/sciatica attributed to a magnetic resonance (MR)-documented hugely dilated, partially calcified, and extrinsically compressive epidural varicose vein (EVV).
Case description: A 36-year-old male presented with 2 months of lumbago-sciatica; the only finding was a positive left-sided straight leg sign to 50°. The MR imaging demonstrated a hugely dilated, branching pattern flow void that caused marked displacement/compression of thecal sac and left S1 nerve root. The X-rays and computed tomography (CT) studies additionally showed a linear "string of beads" pattern of calcification at the L5/S1 level. Intraoperatively, an encapsulated, hugely dilated, compressive epidural vein was encountered; partial vein coagulation and gross total removal decompressed the neural elements. He recovered normal neurological function within 1 post-operative month.
Conclusion: A 36-year-old male presented with left-sided sciatica attributed to an MR and CT documented hugely dilated, partially calcified L5/S1 EVV. Once the EVV was coagulated and removed, the patient's symptoms resolved.
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