Ligamentum flavum hematoma in the lumbar spine mimicking epidural tumor: A case report
- Author:
Cheng-Ta Hsieh
;
Chih-Ju Chang
;
Kun-Chuan Chang
- Publication Type:Case Reports
- MeSH:
Sciatica
- From:Neurology Asia
2015;20(3):309-311
- CountryMalaysia
- Language:English
-
Abstract:
Nerve root compression due to ligamentum flavum hematoma is extremely rare, with less than 70
cases reported in the literature. The clinical presentation and images were similar to those of spinal
epidural tumors. Herein, we reported a previously healthy 64-year-old female who presented with
right radicular leg pain. Neurological examination was consistent with right L5 root compression.
The magnetic resonance imaging revealed a mass posterior to the L5 thecal sac, appearing as high
intensity on T1-weighted and T2-weighted images. During operation, the dark hematoma within the
ligamentum flavum was found. The pathological examination confirmed the diagnosis of hemorrhage.
Her prognosis following surgery was excellent.
- Full text:P020151007480414025472.pdf