ArticleMedicine2019
Severe lumbar radiculopathy with epidural venous plexus engorgement in a morbidly obese pediatric patient: A case report.
Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 11 citations in OpenAlex.
- Post-surgical functional outcomes in patients exhibiting different topographical variants of Lumber epidural varicose veins: a retrospective analysis.International journal of surgery open · 2026Article
- Hugely dilated/partially calcified epidural varicose vein caused intraspinal neural compression/sciatica.Surgical neurology international · 2025Article
- Spinal glomus AVM presenting solely with groin pain: illustrative case.Journal of neurosurgery. Case lessons · 2022Article
- Gastric balloon: A rare cause of lumbar radiculopathy.Surgical neurology international · 2021Article
- Engorged venous plexus mimicking adjacent segment disease: Case report and review of the literature.Surgical neurology international · 2020Article
- Comprehensive insights into lumbar epidural varicose veins: Three clinical cases and surgical strategies.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionEngorgement of the epidural venous plexus (EVP) is a rare cause of nerve root impingement. Dilated epidural veins cause compression of the thecal sac and spinal nerve roots, leading to lumbar radiculopathy. PATIENT CONCERNS: Here we describe a case of severe lumbar radiculopathy in a 15-year-old morbidly obese boy. DIAGNOSIS: Enhanced lumbar magnetic resonance imaging revealed left sided L1-L2 disc protrusion and engorgement of the lumbar EVP, resulting in narrowing of the thecal sac in the entire lumbar spine. There was no evidence of an intra-abdominal mass, thrombosis of the inferior vena cava, or vascular malformation.
interventionsA caudal epidural block was administered under fluoroscopic guidance. The patient reported a 30% reduction in pain intensity for just 1 day. OUTCOMES: The patient has been followed up for 2 years. He continues to take medication, including morphine sulfate 15 mg, gabapentin 300 mg, and oxycodone 20 mg per day. He is on a diet with exercise for weight reduction.
conclusionAn engorged EVP should be considered in the differential diagnosis of radiculopathy in morbidly obese patients.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.