{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T10:10:11Z","timestamp":1754043011017,"version":"3.41.2"},"reference-count":4,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nA patient presented with lumbago\/sciatica attributed to a magnetic resonance (MR)-documented hugely dilated, partially calcified, and extrinsically compressive epidural varicose vein (EVV).<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 36-year-old male presented with 2 months of lumbago-sciatica; the only finding was a positive left-sided straight leg sign to 50\u00b0. 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 \u201cstring of beads\u201d 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.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nA 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\u2019s symptoms resolved.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_571_2025","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T09:42:42Z","timestamp":1754041362000},"page":"315","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hugely dilated\/partially calcified epidural varicose vein caused intraspinal neural compression\/sciatica"],"prefix":"10.25259","volume":"16","author":[{"given":"Nazmin","family":"Ahmed","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Ibrahim Cardiac Hospital and Research Institute (A Centre for Cardiovascular, Neuroscience and Organ Transplant Units), Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Nazrul","family":"Hossain","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Ibrahim Cardiac Hospital and Research Institute (A Centre for Cardiovascular, Neuroscience and Organ Transplant Units), Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahidul Islam","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Bangladesh Medical University, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md. Raad","family":"Kazi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Ibrahim Cardiac Hospital and Research Institute (A Centre for Cardiovascular, Neuroscience and Organ Transplant Units), Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,8,1]]},"reference":[{"key":"10.25259\/SNI_571_2025\/ref-1","doi-asserted-by":"crossref","first-page":"200","DOI":"10.25259\/SNI_371_2025","article-title":"Conjoined nerve root, epidural varicose vein, and extruded lumbar disc: Triad of refractory sciatica","volume":"16","author":"Ahmed","year":"2025","journal-title":"Surg Neurol Int"},{"key":"10.25259\/SNI_571_2025\/ref-2","doi-asserted-by":"crossref","first-page":"e16842","DOI":"10.1097\/MD.0000000000016842","article-title":"Severe lumbar radiculopathy with epidural venous plexus engorgement in a morbidly obese pediatric patient: A case report","volume":"98","author":"Jeong","year":"2019","journal-title":"Medicine (Baltimore)"},{"key":"10.25259\/SNI_571_2025\/ref-3","doi-asserted-by":"crossref","first-page":"244","DOI":"10.14245\/kjs.2012.9.3.244","article-title":"Patterns of epidural venous varicosity in lumbar stenosis","volume":"9","author":"Ju","year":"2012","journal-title":"Korean J Spine"},{"key":"10.25259\/SNI_571_2025\/ref-4","doi-asserted-by":"crossref","first-page":"e28","DOI":"10.1016\/j.spinee.2010.12.016","article-title":"A rare calcified thrombosis of the dilated epidural venous plexus presenting with lumbar radiculopathy: A case report","volume":"11","author":"Lee","year":"2011","journal-title":"Spine J"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/hugely-dilated-partially-calcified-epidural-varicose-vein-caused-intraspinal-neural-compression-sciatica\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/hugely-dilated-partially-calcified-epidural-varicose-vein-caused-intraspinal-neural-compression-sciatica\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T09:42:43Z","timestamp":1754041363000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/hugely-dilated-partially-calcified-epidural-varicose-vein-caused-intraspinal-neural-compression-sciatica\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,1]]},"references-count":4,"alternative-id":["10.25259\/SNI_571_2025"],"URL":"https:\/\/doi.org\/10.25259\/sni_571_2025","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8,1]]},"article-number":"315"}}