warfarin and Sciatica

Epidural hematoma, a rare entity, may occur spontaneously, although a factor such as anticoagulation therapy is more frequently the cause. Epidural hematomas most commonly manifest with pain and neurologic deficit. Only six cases of lumbar hematoma simulating a herniated disc syndrome have been reported in the literature. In this article a thorough knowledge of the natural history and the differential diagnosis of disc disease as well as the importance of a complete physical examination are emphasized. Sagittal MRI imaging, as shown here, has proved to be an important adjunct in the evaluation of multilevel spinal disorders.

Topics: Diagnosis, Differential; Hematoma, Epidural, Cranial; Humans; Intervertebral Disc Displacement; Lumbar Vertebrae; Magnetic Resonance Imaging; Male; Middle Aged; Sciatica; Tomography, X-Ray Computed; Warfarin

We report here the case of a 18-year-old young man with Behçet's disease who had suffered deep venous thrombosis of the right femoral and popliteal veins. Consequently, right sciatic nerve injury, drop foot and tightness of the achilles tendon also ensued. The clinical scenario was further challenged by demonstration of the agenetic inferior vena cava and epidural vein dilatations compressing the lumbar nerve roots. To the best notice of the authors, this is the first patient encompassing all these complications in the literature concerning Behçet's disease.

Topics: Adolescent; Amines; Behcet Syndrome; Colchicine; Cyclohexanecarboxylic Acids; Drug Therapy, Combination; Gabapentin; gamma-Aminobutyric Acid; Heparin; Humans; Injections, Intravenous; Interferons; Male; Nerve Compression Syndromes; Physical Therapy Modalities; Sciatic Nerve; Sciatica; Vena Cava, Inferior; Venous Thrombosis; Warfarin