{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:45Z","timestamp":1787755485185,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 61-year-old male patient presented with back pain and bilateral lower limb radicular pain. A Magnetic Resonance Imaging (MRI) scan of the lumbar spine was suggestive of engorged epidural veins behind the L5 vertebral body causing severe cauda equina compression. A venous Doppler scan demonstrated thrombosis of the inferior vena cava, which was identified as the primary pathology. He was started on anticoagulation, after which his radicular symptoms improved significantly. The patient was asymptomatic at the time of final follow-up at 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Epidural varices can rarely present with lumbar radiculopathy mimicking an acute disk prolapse clinically and radiologically. Careful interpretation of the MRI scan will ensure proper diagnosis and avoid unnecessary surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00148","type":"journal-article","created":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T14:13:00Z","timestamp":1693491180000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Lumbar Spinal Epidural Varices Causing Acute Bilateral Lower Limb Radiculopathy"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4741-0253","authenticated-orcid":false,"given":"Jim F.","family":"Vellara","sequence":"first","affiliation":[{"name":"Amrita Institute of Medical Sciences, Cochin, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0464-8870","authenticated-orcid":false,"given":"Nigil S.","family":"Palliyil","sequence":"additional","affiliation":[{"name":"Amrita Institute of Medical Sciences, Cochin, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3503-9103","authenticated-orcid":false,"given":"Sreekumar","family":"KP","sequence":"additional","affiliation":[{"name":"Amrita Institute of Medical Sciences, Cochin, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1128-6211","authenticated-orcid":false,"given":"Amritaraj","family":"Satheesh","sequence":"additional","affiliation":[{"name":"Amrita Institute of Medical Sciences, Cochin, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7]]},"reference":[{"issue":"5","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"914","DOI":"10.3171\/jns.1994.80.5.0914","article-title":"Symptomatic lumbar epidural varices","volume":"80","author":"Zimmerman","year":"1994","journal-title":"J Neurosurg."},{"issue":"1","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"E5","DOI":"10.1097\/00007632-200301010-00025","article-title":"Localized venous plexi in the spine simulating prolapse of an intervertebral disc: a report of six cases","volume":"28","author":"Hammer","year":"2003","journal-title":"Spine (Phila Pa 1976)."},{"issue":"6","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1097\/00007632-199503150-00003","article-title":"Epidural pressure measurements: relationship between epidural pressure and posture in patients with lumbar spinal stenosis","volume":"20","author":"Takahashi","year":"1995","journal-title":"Spine (Phila Pa 1976)."},{"issue":"4","key":"bib4-20240805","first-page":"225","article-title":"Vertebro-epidural lumbosacral vascular malformations. An unusual cause of lumbo-sciatic pain","volume":"26","author":"Demeulenaere","year":"1999","journal-title":"J Neuroradiol."},{"issue":"6","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"940","DOI":"10.3171\/jns.1988.69.6.0940","article-title":"Myelopathy due to epidural varicose veins of the cervicothoracic junction: case report","volume":"69","author":"Dickman","year":"1988","journal-title":"J Neurosurg."},{"issue":"1","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"129","DOI":"10.4103\/sni.sni_115_18","article-title":"Epidural venous plexus engorgement due to inferior vena cava thrombosis resulting in cauda equina syndrome: case report and literature review","volume":"9","author":"Wong","year":"2018","journal-title":"Surg Neurol Int."},{"key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3171\/2020.6.SPINE20625","article-title":"Cauda equina syndrome secondary to portal vein thrombosis: case report of favorable outcome with conservative treatment","author":"Campione","year":"2021","journal-title":"J Neurosurg Spine."},{"issue":"18","key":"bib8-20240805","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","year":"1994","journal-title":"Spine."},{"issue":"9","key":"bib9-20240805","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1302\/0301-620X.94B9.29322","article-title":"Neurogenic claudication without spinal stenosis arising as a result of lumbar epidural varices","volume":"94-B","author":"Dabasia","year":"2012","journal-title":"J Bone Joint Surg Br."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00148","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:43:52Z","timestamp":1787751832000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00148"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.23.00148","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]}}}