Hugely dilated/partially calcified epidural varicose vein caused intraspinal neural compression/sciatica.

Nazmin Ahmed, Mohammad Nazrul Hossain, Shahidul Islam Khan, Md Raad Kazi

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In one paragraph

Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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4 authors.

Nazmin AhmedDepartment of Neurosurgery, Ibrahim Cardiac Hospital and Research Institute (A Centre for Cardiovascular, Neuroscience and Organ Transplant Units), Dhaka, Bangladesh.

Mohammad Nazrul HossainDepartment of Neurosurgery, Ibrahim Cardiac Hospital and Research Institute (A Centre for Cardiovascular, Neuroscience and Organ Transplant Units), Dhaka, Bangladesh.

Shahidul Islam KhanDepartment of Orthopaedic Surgery, Bangladesh Medical University, Dhaka, Bangladesh.

Md Raad KaziDepartment of Neurosurgery, Ibrahim Cardiac Hospital and Research Institute (A Centre for Cardiovascular, Neuroscience and Organ Transplant Units), Dhaka, Bangladesh.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Disc herniationEpidural varicose veinRadiology

Identifiers

PMID41030409

DOI10.25259/SNI_571_2025

PMCPMC12477979

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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.