Ligamentum flavum hematoma in the lumbar spine

Takahashi, Masahito; Satomi, Kazuhiko; Hasegawa, Atsushi; Hasegawa, Masaichi; Taki, Norimune; Ichimura, Shoichi

doi:10.1007/s00776-011-0083-x

Cited by 9 publications

(11 citation statements)

References 24 publications

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“…14 However, in LFH, slight-to-moderate peripheral enhancements may occur. 15 In addition, there are reported cases of LFH with marked enhancement which Fig. 1 Preoperative MRI of the lumbar spine without contrast showing left posterolateral epidural lesion, that is hyperintense on (A) sagittal T1-weighted MRI and heterogeneous on (B) sagittal T2-weighted MRI.…”

Section: Discussionmentioning

confidence: 99%

Ligamentum Flavum Hematoma Associated with L5–S1 Pars Interarticularis Defect: A Case Report and Review of the Literature

Kıbıcı

Erok²,

Çolak³

2020

Indian Journal of Neurosurgery

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Ligamentum flavum hematoma (LFH) is an extremely rare compressive epidural lesion of the spine. The clinical manifestations of LFH are similar to that caused by other more common pathologies of nerve root compression like disc herniation. In the diagnosis, magnetic resonance imaging (MRI) is very important but challenging due to the changing intensities of the hematoma in relation to the stages of the aging blood. Herein, we report a case of LFH compressing the spinal canal in a 60-year-old man with pars interarticularis defect. He presented with low back pain radiating to the left leg. The neurological examination was consistent with left S1 nerve root compression. The MRI revealed a left posterior epidural mass compressing the thecal sac and S1 nerve root at the left L5–S1 level near the pars interarticularis defect. After surgical removal of the lesion, histopathological examination confirmed the diagnosis of LFH. Following surgery, he recovered rapidly. LFH due to spinal instability is important in terms of the understanding of the pathophysiological mechanisms related with LFH.

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Section: Discussionmentioning

confidence: 99%

Ligamentum Flavum Hematoma Associated with L5–S1 Pars Interarticularis Defect: A Case Report and Review of the Literature

Kıbıcı

Erok²,

Çolak³

2020

Indian Journal of Neurosurgery

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“…In the literature, the majority of reported cases of LFH have been seen in the mobile lumbar spine and cervical spine. [ 21 31 ] However, in these reported cases, the lumbar spine was the prominent involvement location [ Table 6 ]. It is suggested that the reason for this is that the lumbar spine is stressed more often by load-bearing forces than the thoracic spine and the cervical spine.…”

Section: Discussionmentioning

confidence: 99%

“…In Medline research, 50 cases with LFH were found. [ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 ] The cases hemorrhage of the LF cyst were excluded. In literature review, age and gender could be verified only in 42 patients.…”

Section: Case Reportmentioning

confidence: 99%

Ligamentum flavum hematomas: Why does it mostly occur in old Asian males? Interesting point of reported cases: Review and case report

Özdemi̇r¹,

Kanat²,

Batçık³

et al. 2016

J Craniovert Jun Spine

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Hematoma of the ligamentum flavum (LF) is a rare cause of neural compression and sciatica. Currently, the etiology and epidemiological characteristics of ligamentum flavum hematoma (LFH) are unknown and epidemiological investigations using rewieving of reported cases have not been performed. We report the case of a 63-year-old man with a LFH compressing the spinal canal at the left L2–L3 level, rewieved relevant literature. In Medline research, wefound a total of 50 reported cases with LFHs, and the interesting point of these cases were analyzed. Many of cases were old males. Interestingly, 39 of the 50 cases were reported from Asian countries. The ages of 42 patients could be verified. The youngest age was 45 years, oldest age was 81 years, and mean age was 66.07 years. Thirty-three out of these 42 patients (78.53%) were older than 60 years. An important aspect of the present review is to bring attention for occurrence in older Asian males. With an increasing number of elderly people in the general population, there is a need to investigate risk factors such as sexual gender, age, and geographic location for LFH.

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“…LFH ranks among the rarest causes, with approximately 65 cases described since the first in 1992 1 2. The reported age range is 30–89 years; however, the majority of cases affect men in their seventh decade.…”

Section: Discussionmentioning

confidence: 99%

“…The location and shape of LFH suggest an extradural tumour, and 25–44% of patients with LFH are provisionally diagnosed with a tumour preoperatively 2. Contrast enhancement has been reported with LFH; however, it is a rare finding and is usually seen as only a slight to moderate enhancement in the periphery of the lesion 2–5.…”

Section: Discussionmentioning

confidence: 99%

A contrast-enhancing lumbar ligamentum flavum haematoma

Ghent

Ye²,

Yan³

et al. 2014

BMJ Case Reports

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SUMMARYWe present a case of lower back pain with lumbar nerve compromise due to a ligamentum flavum haematoma which was successfully treated surgically. A 62-year-old man was evaluated for lower back pain with associated leg pain and early signs of cauda equina syndrome. MRI of the lumbar spine demonstrated a contrast-enhancing mass adjacent to the lamina of L3 which was causing severe canal stenosis. Surgical excision of the lesion was recommended. The patient underwent an L3 laminectomy with excision of the epidural lesion. Histopathology showed it to be a haematoma of the ligamentum flavum with no untoward features. The patient recovered without complication. BACKGROUND

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Ligamentum flavum hematoma in the lumbar spine

Cited by 9 publications

References 24 publications

Ligamentum Flavum Hematoma Associated with L5–S1 Pars Interarticularis Defect: A Case Report and Review of the Literature

Ligamentum Flavum Hematoma Associated with L5–S1 Pars Interarticularis Defect: A Case Report and Review of the Literature

Ligamentum flavum hematomas: Why does it mostly occur in old Asian males? Interesting point of reported cases: Review and case report

A contrast-enhancing lumbar ligamentum flavum haematoma

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