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酷似椎间盘突出症的腰椎硬膜外静脉血栓形成:3例报告

Lumbar epidural vein thrombosis mimicking disc herniation: A report of 3 cases.

作者信息

Salgado-Parente Alba, Arévalo Galeano Noelia, Almeida-Aróstegui Nicolás, Quiñones-Tapia Diana, López Parra María Dolores, Acosta-Batlle José, Blázquez Sánchez Javier

机构信息

Radiology Department of the Ramon y Cajal University Hospital, Madrid, Spain.

Radiology Department of Nuestra Señora del Rosario Hospital, Madrid, Spain.

出版信息

Radiol Case Rep. 2023 Oct 14;18(12):4522-4527. doi: 10.1016/j.radcr.2023.09.034. eCollection 2023 Dec.

Abstract

Epidural vein thrombosis is a rare cause of lumbosciatica than can clinically and radiologically mimic other causes of nerve root compression such as disc herniation. We describe 3 unusual cases of spinal epidural plexus vein thrombosis illustrating the difficulty in preoperative diagnosis of this entity. Misinterpretation of imaging findings can lead to an erroneous diagnosis and inappropriate treatment. Knowledge of certain radiologic findings will increase the likelihood of recognizing epidural vein thrombosis.

摘要

硬膜外静脉血栓形成是导致腰腿痛的一种罕见病因,在临床和影像学上可与神经根受压的其他病因(如椎间盘突出)相混淆。我们描述了3例不寻常的脊柱硬膜外丛静脉血栓形成病例,以说明该疾病术前诊断的困难。对影像学表现的错误解读可能导致错误诊断和不恰当的治疗。了解某些影像学表现将增加识别硬膜外静脉血栓形成的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/116f/10585626/e670e5dfead8/gr1.jpg

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