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Soliman OUSHY presents the case of a 65-year-old woman with a history of hypertension, SVT, DVT, and hypothyroidism. She experienced three years of progressive low back pain, lower extremity numbness, and neurogenic claudication, followed by recent lower extremity weakness. Preoperative imaging revealed epidural venous plexus dilation. On August 19, 2021, an attempted L3-4 laminectomy in Eau Claire, WI, was aborted due to arterialized blood in the epidural space, indicating a vascular lesion.
Discover how the team managed this case with combined transvenous and transarterial embolization under general anesthesia without intraoperative neuromonitoring, leading to successful outcomes.