Inferior vena cava thrombosis presenting as lumbar radiculopathy
Yizhar Floman1, Yossi Smorgick, Nahshon Rand
1Israel Spine Center, Assuta Hospital, Tel Aviv, Israel.
Abstract:
Lumbar epidural varices either primary or secondary to outflow obstruction have been implicated in causing lumbar radiculopathy. We report a case of an adolescent male who presented with lumbar radiculopathy attributable to thrombosed lumbar epidural varix as a result of inferior vena cava thrombosis emanating from factor V Leiden mutation. This rare cause of radiculopathy was diagnosed on contrast-enhanced computerized tomography. All symptoms resolved shortly after initiation of intravenous heparin therapy. The relevant literature is reviewed.
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