Cauda equina syndrome due to lumbar disc herniation and ossification of the yellow ligament

BACKGROUND: Patients with lumbar disc herniation at a level with significant stenosis due to ossification of the yellow ligament (OYL) may rarely present with rapid neurological deterioration warranting emergent surgery. CASE DESCRIPTION: A 40-year-old female developed an acute cauda equina syndrome...

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Detalles Bibliográficos
Autores principales: Yunoki, Masatoshi, Umakoshi, Michiari, Tatano, Masaki, Imoto, Ryoji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8168690/
https://www.ncbi.nlm.nih.gov/pubmed/34084629
http://dx.doi.org/10.25259/SNI_319_2021
Descripción
Sumario:BACKGROUND: Patients with lumbar disc herniation at a level with significant stenosis due to ossification of the yellow ligament (OYL) may rarely present with rapid neurological deterioration warranting emergent surgery. CASE DESCRIPTION: A 40-year-old female developed an acute cauda equina syndrome (CES) attributed to an acute lumbar disc herniation and to marked canal stenosis due to OYL. As the patient underwent a 9 h delayed removal of the ossified ligament and discectomy, she sustained only minimal recovery. CONCLUSION: Patients diagnosed with acute lumbar disc herniation and severe stenosis due to OYL who present with acute CES warrant emergent surgical decompression to avoid permanent postoperative neurological sequelae.

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