Myelopathy due to epidural varicose veins of the cervicothoracic junction. Case report

J Neurosurg. 1988 Dec;69(6):940-1. doi: 10.3171/jns.1988.69.6.0940.

Abstract

A 30-year-old man presented with a subacute course of myelopathic signs and symptoms. Magnetic resonance imaging demonstrated an epidural mass lesion of the spinal canal at the cervicothoracic junction causing compression of the spinal cord. Laminectomy with resection of this lesion revealed a large varix with acute and chronic thrombus. Postoperatively, an improvement in neurological function occurred. Spinal epidural varicosities have been reported as an etiological factor in lumbar and sacral radiculopathies. This is the first reported case of spinal cord compression in association with spinal epidural varices. The diagnosis, pathophysiology, and management of this disorder are presented.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cervical Vertebrae / blood supply*
  • Cervical Vertebrae / pathology
  • Cervical Vertebrae / surgery
  • Epidural Space
  • Humans
  • Laminectomy
  • Magnetic Resonance Imaging
  • Male
  • Spinal Cord Compression / diagnosis
  • Spinal Cord Compression / etiology*
  • Thoracic Vertebrae / blood supply*
  • Thoracic Vertebrae / pathology
  • Thoracic Vertebrae / surgery
  • Varicose Veins / complications*
  • Varicose Veins / diagnosis
  • Varicose Veins / surgery