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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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
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author Yunoki, Masatoshi
Umakoshi, Michiari
Tatano, Masaki
Imoto, Ryoji
author_facet Yunoki, Masatoshi
Umakoshi, Michiari
Tatano, Masaki
Imoto, Ryoji
author_sort Yunoki, Masatoshi
collection PubMed
description 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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spelling pubmed-81686902021-06-02 Cauda equina syndrome due to lumbar disc herniation and ossification of the yellow ligament Yunoki, Masatoshi Umakoshi, Michiari Tatano, Masaki Imoto, Ryoji Surg Neurol Int Case Report 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. Scientific Scholar 2021-05-03 /pmc/articles/PMC8168690/ /pubmed/34084629 http://dx.doi.org/10.25259/SNI_319_2021 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Yunoki, Masatoshi
Umakoshi, Michiari
Tatano, Masaki
Imoto, Ryoji
Cauda equina syndrome due to lumbar disc herniation and ossification of the yellow ligament
title Cauda equina syndrome due to lumbar disc herniation and ossification of the yellow ligament
title_full Cauda equina syndrome due to lumbar disc herniation and ossification of the yellow ligament
title_fullStr Cauda equina syndrome due to lumbar disc herniation and ossification of the yellow ligament
title_full_unstemmed Cauda equina syndrome due to lumbar disc herniation and ossification of the yellow ligament
title_short Cauda equina syndrome due to lumbar disc herniation and ossification of the yellow ligament
title_sort cauda equina syndrome due to lumbar disc herniation and ossification of the yellow ligament
topic Case Report
url 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
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AT umakoshimichiari caudaequinasyndromeduetolumbardischerniationandossificationoftheyellowligament
AT tatanomasaki caudaequinasyndromeduetolumbardischerniationandossificationoftheyellowligament
AT imotoryoji caudaequinasyndromeduetolumbardischerniationandossificationoftheyellowligament

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