{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T17:27:46Z","timestamp":1783963666369,"version":"3.55.0"},"reference-count":11,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,4,26]],"date-time":"2018-04-26T00:00:00Z","timestamp":1524700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>Lumbar epidural varices are a rare cause of radicular pain mimicking lumbar disc herniation or other cyst\u2010like masses including sequestrated disc herniation, facet joint synovial cyst, or perineural cyst. We report a case of a 36\u2010year\u2010old woman presenting with lumbar radicular pain caused by a lumbar epidural varix. Lumbar magnetic resonance imaging (MRI) revealed a cystic lesion in the ventral epidural space posterior to the right L4 body. Surgery was conducted and histopathology confirmed the diagnosis of an epidural varix. Lumbar epidural varices and other lumbar cystic lesions can commonly cause radicular pain. Physicians will benefit from increased awareness of epidural varices as a cause of lumbosacral radicular pain and the associated radiologic findings supporting differential diagnosis. In particular, careful interpretation of MRI scans may help ensure proper diagnosis of an epidural varix versus other cystic lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>V<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2018.04.002","type":"journal-article","created":{"date-parts":[[2018,4,26]],"date-time":"2018-04-26T18:22:18Z","timestamp":1524766938000},"page":"1283-1287","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Lumbar Epidural Varix Causing Radicular Pain: A Case Report and Differential Diagnosis of Lumbar Cystic Lesions"],"prefix":"10.1002","volume":"10","author":[{"given":"Il\u2010Kyu","family":"Im","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun\u2010Seok","family":"Son","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Du Hwan","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,26]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"crossref","first-page":"E347","DOI":"10.1097\/01.BRS.0000090500.10184.7A","article-title":"Symptomatic spinal epidural varices presenting with nerve impingement: report of two cases and review of the literature","volume":"28","author":"Wong C.H.","year":"2003","journal-title":"Spine (Phila Pa 1976)"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318158cf94"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1994.80.5.0914"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000144354.36449.2f"},{"key":"e_1_2_4_6_1","doi-asserted-by":"crossref","first-page":"2122","DOI":"10.1097\/00007632-199409150-00022","article-title":"Lumbar epidural varix as a cause of radiculopathy","volume":"19","author":"Hanley E.N.","year":"1994","journal-title":"Spine (Phila Pa 1976)"},{"key":"e_1_2_4_7_1","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/S1297-319X(02)00376-7","article-title":"Lumboradiculopathy due to epidural varices: Two case reports and a review of the literature","volume":"69","author":"Genevay S.","year":"2002","journal-title":"Joint Bone Spine"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9260(99)91173-X"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-005-0009-4"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surneu.2005.07.073"},{"key":"e_1_2_4_11_1","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1590\/S1679-45082014RC3008","article-title":"Can lumbar hemorrhagic synovial cyst cause acute radicular compression? Case report","volume":"12","author":"Timb\u00f3 L.S.","year":"2014","journal-title":"Einstein (S\u00e3o Paulo)"},{"key":"e_1_2_4_12_1","first-page":"824","article-title":"Lumbar epidural varicose vein: Early neurological improvement and late radiological full recovery with surgery; The importance of magnetic resonance imaging in follow\u2010up","volume":"25","author":"Celik H.","year":"2015","journal-title":"Turk Neurosurg"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148218302132?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1934148218302132?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2018.04.002","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.pmrj.2018.04.002","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.pmrj.2018.04.002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T13:23:15Z","timestamp":1694784195000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1016\/j.pmrj.2018.04.002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,26]]},"references-count":11,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1016\/j.pmrj.2018.04.002"],"URL":"https:\/\/doi.org\/10.1016\/j.pmrj.2018.04.002","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,26]]},"assertion":[{"value":"2017-09-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-26","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}