Citation, DOI, disclosures and article data
Citation:
Botz B, Knipe H, Campos A, et al. Spinal epidural venous plexus congestion. Reference article, Radiopaedia.org (Accessed on 23 Apr 2024) https://radiopaedia.org/articles/85085
Disclosures:
At the time the article was last revised Henry Knipe had the following disclosures:
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Henry Knipe's current disclosures
Spinal epidural venous plexus congestion or dilatation is typically a complication of other pathologies.
Radiculopathy caused by the dilated epidural veins is not uncommon 1.
Several spinal and pelvic diseases can result in secondary epidural venous engorgement:
As the vertebral venous system is valveless, extraspinal venous congestion can rapidly involve these veins 1.
MRI is the method of choice for imaging spinal epidural venous plexus pathology. Axial and sagittal plane T2-weighted sequences usually clearly demonstrate the engorged epidural veins and effacement of CSF spaces 1,2. The distended venous plexus should not be mistaken for mass, disc herniation, or arteriovenous fistulisation.
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1. Tuan A, Nabavizadeh S, Pukenas B, Mohan S, Learned K. Reversible Dilatation of Lumbar Epidural Venous Plexus Secondary to Pelvic Venous Compression: Mimicker of Pathology. BJR|case Reports. 2017;3(1):20150287. doi:10.1259/bjrcr.20150287
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2. Uhl E, Brückmann H, Goetz C. Congestion of Epidural Venous Plexus Secondary to Vertebral Artery Occlusion Mimicking a Herniated Cervical Disc. Clin Neurol Neurosurg. 2007;109(4):357-60. doi:10.1016/j.clineuro.2006.12.001
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3. Donmez F. Epidural Venous Plexus Engorgement: What Lies Beneath? Case Reports in Radiology. 2015;2015:1-3. doi:10.1155/2015/965106
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4. Ju J, Ha H, Jung C, Kim H, Lee C, Kim J. Patterns of Epidural Venous Varicosity in Lumbar Stenosis. Korean J Spine. 2012;9(3):244-9. doi:10.14245/kjs.2012.9.3.244 - Pubmed
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5. Park S, Lee I, Song Y, Moon J, Song J, Kang H. Dilatation of the Spinal Epidural Venous Plexus in Patients with Prominent Epidural Fat. Br J Radiol. 2016;89(1063):20160064. doi:10.1259/bjr.20160064 - Pubmed
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