Abstract

Sciatica is generally caused by such well-recognized entity as lumbar disc herniation in neurosurgical practice. However rare patholo­gies such as epidural varices may mimic them by causing radicular symptoms. In this case report, we present a 20-years-old man with the complaint of low back pain and bilateral sciatica (Lt>Rt) & neurogenic claudication who was operated for right L5–S1 disc herniation. The lesion interpreted as an extruded disc herniation pre­operatively on MRI but was found to be an epidural varix compressing the nerve roots intraoperatively. The varicosity of veins was found in epidural space causing canal stenosis.

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