{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:14:58Z","timestamp":1761844498057},"reference-count":12,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:p>Epidural venous engorgement can result from various lesions, such as arteriovenous malformation, thrombosis or occlusion of the inferior vena cava (IVC), or an abdominal masslike lesion. Most patients with these problems complain of low-back pain, radicular pain, or neurogenic claudication, which are symptoms suggestive of disc herniation or spinal stenosis. However, these patients rarely exhibit neurological deficits or cauda equina syndrome. The authors encountered a case of a 60-year-old man presenting with lower-extremity weakness and voiding difficulty for a period of 1 year. To investigate the patient\u2019s myelopathy-mimicking symptoms, a lumbar spine MRI scan was performed. The MR images exhibited tortuous and dilated spinal vessels compressing the spinal cord and thecal sac at the T11-L3 level, which were concurrent with syringomyelia evidenced by a 22 \u00d7 2.5-mm cyst at the T11\u201312 level. 3D CT scanning of the whole aorta revealed total occlusion and regression of the IVC in the intrahepatic region 3 cm inferior to the right atrium and dilation of multiple collateral veins. The patient was diagnosed with chronic Budd-Chiari syndrome Type I. The authors performed venography, followed by intrahepatic IVC recanalization via stent placement under fluoroscopic and ultra sonographic guidance and without surgical exploration. After this treatment, there was a marked decrease in epidural venous engorgement and the patient\u2019s symptoms resolved almost completely. This case indicates that epidural venous engorgement at thoracolumbar levels may cause symptoms suggestive of myelopathy and can be successfully treated by minimally invasive procedures to eliminate the underlying causes.<\/jats:p>","DOI":"10.3171\/2015.1.spine14515","type":"journal-article","created":{"date-parts":[[2015,7,3]],"date-time":"2015-07-03T15:46:05Z","timestamp":1435938365000},"page":"467-470","source":"Crossref","is-referenced-by-count":11,"title":["Myelopathy-mimicking symptoms of epidural venous engorgement and syringomyelia due to inferior vena cava stenosis at the thoracolumbar junction in a patient with Budd-Chiari syndrome"],"prefix":"10.3171","volume":"23","author":[{"given":"Jung-Hee","family":"Lee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wook-Jae","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyung-Chung","family":"Kang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-spine14515","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E383","DOI":"10.1097\/01.brs.0000219516.54500.97","article-title":"Intractable radicular and low back pain secondary inferior vena cava stenosis associated with Budd-Chiari syndrome: endovascular treatment with cava stenting: case report and review of the literature","volume":"31","author":"Bozkurt","year":"2006"},{"key":"b2-spine14515","series-title":"J Bone Joint Surg Br","first-page":"1292","article-title":"Neurogenic claudication without spinal stenosis arising as a result of lumbar epidural varices","volume":"94","author":"Dabasia","year":"2012"},{"key":"b3-spine14515","series-title":"Eur Radiol","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1007\/s003300050640","article-title":"Sciatica caused by a dilated epidural vein: MR findings","volume":"9","author":"Demaerel","year":"1999"},{"key":"b4-spine14515","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"427","DOI":"10.3171\/2009.4.SPINE08118","article-title":"Cervical spine dural arteriovenous fistula presenting with congestive myelopathy of the conus","volume":"11","author":"Geibprasert","year":"2009"},{"key":"b5-spine14515","series-title":"Joint Bone Spine","doi-asserted-by":"publisher","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","year":"2002"},{"key":"b6-spine14515","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","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"},{"issue":"6 Suppl","key":"b7-spine14515","series-title":"J Neurosurg","first-page":"499","article-title":"Epidural venous engorgement resulting in progressive cervical myelopathy from shunt-related intracranial hypotension. 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