Inferior vena cava thrombosis presenting as lumbar radiculopathy.

Floman, Yizhar; Smorgick, Yossi; Rand, Nahshon; Bar-Ziv, Jacob · Am J Phys Med Rehabil · 2007

case_report · Level V

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Abstract

Lumbar epidural varices either primary or secondary to outflow obstruction have been implicated in causing lumbar radiculopathy. We report a case of an adolescent male who presented with lumbar radiculopathy attributable to thrombosed lumbar epidural varix as a result of inferior vena cava thrombosis emanating from factor V Leiden mutation. This rare cause of radiculopathy was diagnosed on contrast-enhanced computerized tomography. All symptoms resolved shortly after initiation of intravenous heparin therapy. The relevant literature is reviewed.

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