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Venous hypertensive myelopathy caused by narrowing of ascending lumbar vein

Li Pan, Lianting Ma, Jie Gong, Zhe Yu, Xinyuan Zhang, Jun Li, Qihong Wang

Department of Neurosurgery, Wuhan General Hospital, Guangzhou Command, People's Liberation Army, Wuhan 430070, China.

Zhonghua wai ke za zhi [Chinese journal of surgery] 11/2002; 40(10):752-4.

Journal Article

Abstract

OBJECTIVE: To assess the diagnosis and treatment of venous hypertensive myelopathy (VHM) caused by narrowing of the ascending lumbar vein. METHOD: The data from 3 patients with VHM caused by narrowing of the ascending lumbar vein were analyzed retrospectively. RESULTS: Once the narrowed site of the lumbar ascending vein was determined by myelographic or angiographic technique, an undetachable balloon was introduced and advanced to the proximal part of the narrowed segment. Satisfactory results were obtained in these patients. CONCLUSION: Narrowing of the ascending lumbar vein is one of the causes for VHM, and endovascular balloon angioplasty is an optimal treatment.

Salvatore Sclafani
Consequences of venous obstruction involving other vascular beds

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