Asian Spine J.  2013 Jun;7(2):136-138. 10.4184/asj.2013.7.2.136.

Lumbar Epidural Varix Mimicking Perineural Cyst

• Pusat S
• Kural C
• Aslanoglu
• Kurt B
• Izci Y

• KMID: 2048104
• DOI: http://doi.org/10.4184/asj.2013.7.2.136

Abstract

Lumbar epidural varices are rare and usually mimick lumbar disc herniations. Back pain and radiculopathy are the main symptoms of lumbar epidural varices. Perineural cysts are radiologically different lesions and should not be confused with epidural varix. A 36-year-old male patient presented to us with right leg pain. The magnetic resonance imaging revealed a cystic lesion at S1 level that was compressing the right root, and was interpreted as a perineural cyst. The patient underwent surgery via right L5 and S1 hemilaminectomy, and the lesion was coagulated and removed. The histopathological diagnosis was epidural varix. The patient was clinically improved and the follow-up magnetic resonance imaging showed the absence of the lesion. Lumbar epidural varix should be kept in mind in the differential diagnosis of the cystic lesions which compress the spinal roots.

Keyword

Epidural; Varix; Perineural cyst; Surgery

MeSH Terms

Back Pain
Diagnosis, Differential
Follow-Up Studies
Humans
Leg
Magnetic Resonance Imaging
Male
Radiculopathy
Spinal Nerve Roots
Tarlov Cysts
Varicose Veins