Related Experiment Video

Updated: Sep 28, 2026

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review
04:33

Spinal Hernia Repair and Cauda Equina Repositioning After Lumbar Decompression under Three-Dimensional Microscopy: A Case Report and Literature Review

Published on: November 8, 2024

[Venous hypertensive myelopathy caused by narrowing of ascending lumbar vein]

Li Pan1, Lianting Ma, Jie Gong

  • 1Department of Neurosurgery, Wuhan General Hospital, Guangzhou Command, People's Liberation Army, Wuhan 430070, China.

Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|December 19, 2002
PubMed

Insights

Narrowing of the ascending lumbar vein can cause venous hypertensive myelopathy (VHM). Endovascular balloon angioplasty is an effective treatment for this condition, offering satisfactory results.

Area of Science:

  • Vascular Surgery
  • Neurology
  • Interventional Radiology

Background:

  • Venous hypertensive myelopathy (VHM) is a rare condition affecting the spinal cord.
  • Ascending lumbar vein narrowing is an identified cause of VHM.

Observation:

  • Retrospective analysis of 3 patients with VHM due to ascending lumbar vein narrowing.
  • Diagnostic imaging included myelography and angiography to identify the narrowed venous segment.

Findings:

  • Successful endovascular balloon angioplasty was performed using an undetachable balloon.
  • The procedure targeted the narrowed segment of the ascending lumbar vein.

Implications:

  • Ascending lumbar vein narrowing is a treatable cause of VHM.
  • Endovascular balloon angioplasty represents an optimal therapeutic strategy for VHM in these cases.
Abstract

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