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Case Reports
Cauda equina syndrome secondary to an absent inferior vena cava managed with surgical decompression.
- Mayshan Ghiassi, Mahan Ghiassi, Elyne Kahn, Luke Tomycz, Michael Ayad, and Oran Aaronson.
- Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2380, USA.
- J Neurosurg Spine. 2012 Feb 1; 16 (2): 201-5.
AbstractThe authors report on the case of a 24-year-old man who presented with back pain and radiculopathy due to epidural venous engorgement in the setting of a congenitally absent inferior vena cava. Despite initial improvement after steroid administration, the patient's health ultimately declined over a period of weeks, and signs and symptoms of cauda equina syndrome manifested. Lumbar decompression was performed and involved coagulation and resection of the compressive epidural veins. No complications occurred, and the patient made a full neurological recovery.
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