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[Spinal claudication following ileocaval venous thrombosis].
1Angiologische Praxis, Zürich.
Schweizerische Medizinische Wochenschrift
|August 27, 1988
Summary
This case study reveals a young male with venous thrombosis experiencing intermittent claudication due to both muscular and spinal nerve root compression from collateral venous circulation.
Area of Science:
- Vascular Surgery
- Neurology
- Radiology
Background:
- A young male presented with intermittent claudication following thrombosis of the right common femoral, iliac, and caval veins.
- Symptoms were initially attributed to severe proximal venous obstruction.
Observation:
- The patient also reported lumbar pain during and after walking.
- Neurological examination revealed signs of irritation of the right-sided nerve roots L4 to S1.
Findings:
- Venography and CT scans identified venous collateral circulation extending through the spinal canal.
- This collateral network drained via the intervertebral foramina to the caval vein.
- Nerve root compression was observed, correlating with the filling of these collateral veins.
Implications:
- The patient's claudication was uniquely characterized as 'venous' in origin, stemming from both inadequate muscular drainage and spinal nerve root compression.
- This highlights a rare presentation of venous thrombosis complications involving spinal venous systems.