Venous congestion as a central mechanism of radiculopathies

Berthelot, Jean‐Marie; Douane, Frédéric; Ploteau, Stéphane; Goff, Benoît Le; Darrieutort-Laffite, Christelle

doi:10.1016/j.jbspin.2021.105291

Cited by 15 publications

(6 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sixteen participants reported hypertension (chronic or gestational); seven of them had been diagnosed with sacroiliac dysfunction with a percent of (43.7% of hypertensive patients). It was agreed by other investigators who reported that venous congestion and hypoxia in the pelvic and lumbar spine during pregnancy, related to the pressure by the gravid uterus, exaggerated the low back pain experienced by pregnant women [27].…”

Section: Discussionsupporting

confidence: 57%

Prevalence of sacroiliac dysfunction during pregnancy

Hamdy¹,

Shawky²,

Ali³

et al. 2023

It Journ Gyn Obs

View full text Add to dashboard Cite

Objective. To estimate the prevalence of sacroiliac dysfunction during pregnancy in Egypt. Materials and Methods. This was a cross-sectional observational study recruiting 861 pregnant women who attended the Obstetrics and Gynecology Department's outpatient clinic at Suez Canal University Hospitals from August 2016 to March 2020. Pain provocation tests were performed, including distraction test, Patrick Faber test, posterior pain provocation test, compression test, and active straight leg raising test. The reference criteria of three or more positive pain-provoking tests have high validity for the diagnosis. The primary outcome measurement was the prevalence of sacroiliac dysfunction during pregnancy. Results. 861 pregnant women were involved in this study, with 26.2 ± 6 years. The distraction test, Patrick Faber test, and posterior pain provocation test were the most positive tests (59.1%, 57.1%, and 51%, respectively). Three hundred twenty-four cases were found to have three or more positive pain provocation tests. The prevalence of sacroiliac dysfunction was 37.6%. Conclusions. Sacroiliac dysfunction commonly occurs among pregnant women in Egypt.

show abstract

Section: Discussionsupporting

confidence: 57%

Prevalence of sacroiliac dysfunction during pregnancy

Hamdy¹,

Shawky²,

Ali³

et al. 2023

It Journ Gyn Obs

View full text Add to dashboard Cite

show abstract

“…In AVFs, the symptoms begin because of venous congestion or hypertension often causing the so-called venous congestive myelopathy 11 or radiculopathy. 12 Rarer are the venous infarctions or hemorrhage causing neurological deficits. 13 , 14 In the present case, the pathology was exclusively extradural, causing nerve root compression.…”

Section: Discussionmentioning

confidence: 99%

Extradural lumbar arteriovenous fistula imitating a synovial cyst: illustrative case

Trakolis,

Moutsianos,

Gourvas

et al. 2023

Journal of Neurosurgery: Case Lessons

View full text Add to dashboard Cite

BACKGROUND Spinal dural arteriovenous fistula is the most common spinal vascular malformation. It usually presents with neurological deficits due to venous congestive myelopathy. Sometimes, however, the symptoms are radicular and can imitate those of a disc hernia or synovial cyst. OBSERVATIONS In this illustrated case, a 34-year-old male patient presented with radicular pain due to nerve root compression. In the magnetic resonance imaging (MRI) examination of the spine, a synovial cyst was suspected, so the patient underwent no further examination before surgery. Intraoperatively, the authors were surprised to see a vascular malformation, which was shown to be an extradural arteriovenous fistula according to the histopathological examination. LESSONS In atypical MRI findings of the spine, vascular malformations should be considered. In cases with a spinal dural arteriovenous fistula, the thrombosis risk can be high and lead to a need for prolonged anticoagulation.

show abstract

“…In particular, increased venous return via lateral sacral and ascending lumbar veins, which arise from the common iliac veins, leads to engorgement of radicular veins and intervertebral veins which communicate between the external and internal vertebral venous networks. 3,4 These radicular veins abut, and therefore may impinge, exiting nerve roots. This pattern of symptomatology has been documented in 18 cases in the literature.…”

Section: Discussionmentioning

confidence: 99%

Lower Limb Weakness due to Spinal Venous Congestion in Chronic Inferior Vena Cava Occlusion: A Case Report

Lui

Williamson

Hamilton

et al. 2022

Vasc Endovascular Surg

View full text Add to dashboard Cite

The presentation of symptomatic inferior vena cava (IVC) occlusion is variable, and no clear guidance exists on indications for invasive treatment. We describe the first documented case in the literature of IVC occlusion and venous congestion of the spine with associated neurological symptoms, successfully treated with endovascular IVC reconstruction. Case report A 31 year-old male presented with a long history of reduced sensation and motor function in his lower limbs upon waking every morning, lasting 30-50 minutes during which he was unable to ambulate. He was involved in a severe road traffic accident as a child, and was born prematurely requiring prolonged neonatal hospitalisation. Both duplex ultrasonography and magnetic resonance venography identified an occlusion of the IVC, with patent common femoral and iliac veins draining into large spinal collaterals. No other cause was identified for his symptoms. After appropriate multidisciplinary team discussion and patient counselling, the patient proceeded to have endovenous recanalization of his IVC and common iliac veins with dedicated venous stents. Post-operatively, the patient reported an immediate resolution of neurological symptoms, with an improvement in quality of life questionnaire scores and with stent patency at 9-month follow up. Conclusion IVC occlusion with symptomatic spinal venous congestion is a rare condition which may be successfully treated with endovascular iliocaval recanalization, although long-term outcomes of this treatment are still unknown.

show abstract

Venous congestion as a central mechanism of radiculopathies

Cited by 15 publications

References 54 publications

Prevalence of sacroiliac dysfunction during pregnancy

Prevalence of sacroiliac dysfunction during pregnancy

Extradural lumbar arteriovenous fistula imitating a synovial cyst: illustrative case

Lower Limb Weakness due to Spinal Venous Congestion in Chronic Inferior Vena Cava Occlusion: A Case Report

Contact Info

Product

Resources

About