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Journal List > J Korean Soc Spine Surg > v.13(3) > 1035720

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Choi, Kim, Lee, and Yoon: Efficacy of Enhanced MRI in Epidural Varix - Report of Six Cases -
Case Report

Journal of Korean Spine Surg 2006;13(3):210-214.

Published online: 18 February 2006

DOI: https://doi.org/10.7469/JKSS.2006.13.3.210

Efficacy of Enhanced MRI in Epidural Varix - Report of Six Cases -

Shinkwon Choi, M.D., Kyang-Yul Kim, M.D., Sungjoo Lee, M.D., Sunghwan Yoon, M.D.

Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital, Busan, Korea

Address reprint requests to Kyang-Yul Kim, M.D. Department of Orthopaedic Surgery, Wallace Memorial Baptist Hospital 374-75 Namsan-dong, Geumjeong-gu, Pusan 609-728, Korea Tel: 82-51-580-1422, Fax: 82-51-583-2568, E-mail: kykimdr@yahoo.co.kr

Copyright © 2006 Korean Society of Spine Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Symptomatic epidural varix presenting with radiculopathy is extremely rare. The most common misdiagnosis is reported as a sequestrated prolapsed nucleus pulposus in the preoperative evaluation. The method of evaluating enhanced MRI studies improved the efficacy of discovery and treatment of this condition. We experienced 6 cases of epidural varices that were diag-nosed with T1 fat suppressed post-gadolinium enhanced MRI studies and we present the operative findings.

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Keywords: Disc, enhanced MRI, Epidural varix

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jkss-13-210f1.tif
Fig. 1.
(A, B) T1 sagittal and axial image, L3 body posterior, intermediate signal 0.5×1CM thecal sac compressing fusiform mass.
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jkss-13-210f2.tif
Fig. 2.
(A) T1 sagittal image, L3/4, intermediate signal extruded, caudal migrated mass. (B) T1 fat-suppresed post-gadolini-um enhanced sagittal image, enhanced mass with serpiginous dilated vein.
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jkss-13-210f3.tif
Fig. 3.
(A) T1 sagittal image, L4 body posterior, intermediate signal fusiform mass, L4/5 disc protrusion. (B) T1 fat-supp-resed post-gadolinium enhanced sagittal image, L4 body posterior enhanced around the mass. (C) T1 enhanced axial image, Rt paracentral disc-like intermediate signal. At the central cephalad direction, low signal mass with enhanced, communicating L4 body. Serpiginous dilated vein, prominent lumbar segmental veins was seen.
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