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Post-traumatic ligamentum flavum hematoma: a case report
Tony Wing-Cheong Chi1, Kuo-Tai Li, Poon-Ung Chieng
1Department of Radiology, St. Paul's Hospital, Taoyuan, Taiwan. tonychih@ms15.hinet.net
The Kaohsiung Journal of Medical Sciences
|October 16, 2004
Summary
A ligamentum flavum hematoma caused progressive radiculopathy in a 64-year-old female. Magnetic resonance imaging (MRI) accurately diagnosed the epidural mass, and surgical removal resolved her symptoms.
Area of Science:
- Neurosurgery
- Radiology
- Spinal Surgery
Background:
- Ligamentum flavum hematoma is a rare cause of spinal cord compression.
- Progressive radiculopathy can significantly impair mobility and quality of life.
Observation:
- A 64-year-old female presented with acute lower back pain and rapid onset of inability to walk.
- Magnetic resonance imaging revealed an epidural mass at L3-L4, contiguous with the left ligamentum flavum.
- The mass exhibited characteristic signal intensities on T1 and T2-weighted images and showed enhancement after gadolinium administration.
Findings:
- Surgical removal of the ligamentum flavum hematoma resulted in complete resolution of the patient's neurological symptoms.
- Preoperative MRI findings were crucial for accurate diagnosis of the ligamentum flavum hematoma.
Implications:
- This case highlights the importance of MRI in diagnosing ligamentum flavum hematoma.
- Prompt surgical intervention can lead to excellent outcomes for patients with symptomatic ligamentum flavum hematoma.