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Case of lumbar ligamentum flavum hematoma with epidural hematoma resulting in cauda equina compression
BACKGROUND: Lumbar ligamentum flavum hematomas (LFHs) are rare. However, when they occur and contribute to epidural cauda equina compression, timely surgical intervention is frequently warranted. CASE DESCRIPTION: A 69-year-old female presented with the left lower extremity sciatica and gait disturb...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9805610/ https://www.ncbi.nlm.nih.gov/pubmed/36600774 http://dx.doi.org/10.25259/SNI_967_2022 |
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author | Hisamitsu, Yoshinori Uchikado, Hisaaki Makizono, Takehiro Miyagi, Tomoya Miyahara, Takahiro |
author_facet | Hisamitsu, Yoshinori Uchikado, Hisaaki Makizono, Takehiro Miyagi, Tomoya Miyahara, Takahiro |
author_sort | Hisamitsu, Yoshinori |
collection | PubMed |
description | BACKGROUND: Lumbar ligamentum flavum hematomas (LFHs) are rare. However, when they occur and contribute to epidural cauda equina compression, timely surgical intervention is frequently warranted. CASE DESCRIPTION: A 69-year-old female presented with the left lower extremity sciatica and gait disturbance of 2 weeks’ duration that ultimately evolved into a paraparesis/cauda equina syndrome. When the lumbar MRI revealed left-sided L4-L5 epidural compression attributed to a hemorrhage into the hypertrophied ligamentum flavum (HLF), she successfully underwent a bilateral fenestration/decompressive procedure. Pathologically, neovascularization and rupture of the ventral layers of the degenerated and thickened HLF contributed to the LFH. CONCLUSION: Arterial neovascularization (i.e., arterial feeding vessels from paramuscular/prelaminar lumbar branches) contributed to a left-sided L4-L5 LFH that resulted in epidural cauda equina compression in a 69-year-old female. Following surgical focal fenestration/decompression, the patient’s symptoms/signs resolved. |
format | Online Article Text |
id | pubmed-9805610 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-98056102023-01-03 Case of lumbar ligamentum flavum hematoma with epidural hematoma resulting in cauda equina compression Hisamitsu, Yoshinori Uchikado, Hisaaki Makizono, Takehiro Miyagi, Tomoya Miyahara, Takahiro Surg Neurol Int Case Report BACKGROUND: Lumbar ligamentum flavum hematomas (LFHs) are rare. However, when they occur and contribute to epidural cauda equina compression, timely surgical intervention is frequently warranted. CASE DESCRIPTION: A 69-year-old female presented with the left lower extremity sciatica and gait disturbance of 2 weeks’ duration that ultimately evolved into a paraparesis/cauda equina syndrome. When the lumbar MRI revealed left-sided L4-L5 epidural compression attributed to a hemorrhage into the hypertrophied ligamentum flavum (HLF), she successfully underwent a bilateral fenestration/decompressive procedure. Pathologically, neovascularization and rupture of the ventral layers of the degenerated and thickened HLF contributed to the LFH. CONCLUSION: Arterial neovascularization (i.e., arterial feeding vessels from paramuscular/prelaminar lumbar branches) contributed to a left-sided L4-L5 LFH that resulted in epidural cauda equina compression in a 69-year-old female. Following surgical focal fenestration/decompression, the patient’s symptoms/signs resolved. Scientific Scholar 2022-11-25 /pmc/articles/PMC9805610/ /pubmed/36600774 http://dx.doi.org/10.25259/SNI_967_2022 Text en Copyright: © 2022 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, transform, 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 Hisamitsu, Yoshinori Uchikado, Hisaaki Makizono, Takehiro Miyagi, Tomoya Miyahara, Takahiro Case of lumbar ligamentum flavum hematoma with epidural hematoma resulting in cauda equina compression |
title | Case of lumbar ligamentum flavum hematoma with epidural hematoma resulting in cauda equina compression |
title_full | Case of lumbar ligamentum flavum hematoma with epidural hematoma resulting in cauda equina compression |
title_fullStr | Case of lumbar ligamentum flavum hematoma with epidural hematoma resulting in cauda equina compression |
title_full_unstemmed | Case of lumbar ligamentum flavum hematoma with epidural hematoma resulting in cauda equina compression |
title_short | Case of lumbar ligamentum flavum hematoma with epidural hematoma resulting in cauda equina compression |
title_sort | case of lumbar ligamentum flavum hematoma with epidural hematoma resulting in cauda equina compression |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9805610/ https://www.ncbi.nlm.nih.gov/pubmed/36600774 http://dx.doi.org/10.25259/SNI_967_2022 |
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