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Acute lumbar radiculopathy with weak legs
Benjamin A Hickey1, Sashin Ahuja1
1Department of Spinal Surgery, University Hospital of Wales, Cardiff, Wales.
Inferior vena cava thrombosis can cause acute low back pain and leg weakness. Early diagnosis and treatment with anticoagulation are crucial to prevent fatal pulmonary embolism.
Area of Science:
- Vascular Medicine
- Neurology
- Obstetrics
Background:
- Inferior vena cava thrombosis (IVCT) is a rare cause of acute low back pain and lumbar radiculopathy.
- Untreated IVCT can lead to propagation of thrombus and potentially fatal pulmonary embolism.
Observation:
- This report details the first case of IVCT in a postpartum woman presenting with acute lumbar radiculopathy and leg weakness.
- The patient experienced symptoms mimicking common spinal conditions.
Findings:
- The patient was successfully treated with intravenous (IV) heparin followed by oral anticoagulation.
- Prompt anticoagulation resolved the symptoms and prevented further complications.
Implications:
- IVCT should be considered in the differential diagnosis of acute lumbar radiculopathy, particularly in postpartum women.
- Recognizing and treating IVCT promptly is essential for patient outcomes and preventing life-threatening events.
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