Lumbosacral vertebro-epidural vascular malformations: an uncommon cause oflumboradiculagly

Sciatica is most commonly caused by nerve root compression secondary to her niated disk. Rarely, it can be due to a lumbosacral vascular malformation. We present five cases with such a malformation, presenting as a chronic lum boradiculagia. The patients were explored with computed tomography, MRI and selective spin al angiography. Polymorphic anatomic and hemodynamic aspect of these cases are reported : 1. One vertebral hemangioma with epidural extension; 2. Three purely epidural malformations: a) one epidural cavernous hemangioma, b) one epidural arteriovenous malformation, c) one epidural varix; 3. One paravertebral arteriovenous fistula with epidural venous drainage. Diagnosis of these rare malformations may be difficult. A multiplanar cross-sectional magnetic resonance and computed tomography sc an with contrast enhancement can show characteristic abnormalities and may assist in recognition these malformations. Selective spinal angiography con firms the diagnosis, allows to classify the malformation and is required to evaluate endovascular therapeutic possibilities.