Spinal Cord Injury Caused by Minor Trauma in a Patient with Silent Ossification of the Ligamentum Flavum: Case Report and Review
Background and Importance: Acute spinal cord injury without an apparent spinal fracture/dislocation in an asymptomatic subject with silent thoracic ossification of the ligamentum flavum (TOLF) is an extremely rare with only seven fully documented example with this specific scenario in the literature...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Guilan University of Medical Sciences
2023-01-01
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| Series: | Iranian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | https://irjns.org/article-1-367-en.pdf |
| _version_ | 1827399731558481920 |
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| author | Abolfazl Rahimizadeh Housain Soufiani Mahan Amirzade Walter Williamson Shaghayegh Rahimizadeh Naser Asgari |
| author_facet | Abolfazl Rahimizadeh Housain Soufiani Mahan Amirzade Walter Williamson Shaghayegh Rahimizadeh Naser Asgari |
| author_sort | Abolfazl Rahimizadeh |
| collection | DOAJ |
| description | Background and Importance: Acute spinal cord injury without an apparent spinal fracture/dislocation in an asymptomatic subject with silent thoracic ossification of the ligamentum flavum (TOLF) is an extremely rare with only seven fully documented example with this specific scenario in the literature.
Case Presentation: A previously healthy middle-aged woman with a history of MRI documented silent TOLF who developed sever weakness of the lower limbs immediately after a minor fall is presented. Repeat MRI revealed appearance of a myelopathy at the site of the preexisting silent T10-T11 OLF. Laminectomy and excision of the O LF result in complete recovery within 6 months.
Conclusion: We believe that our asymptomatic patient should had undergone prophylactic surgical intervention before this catastrophic event. In a survey of medical literature, we found that the presented case is the first example with MRI documented TOLF in its silence period. |
| first_indexed | 2024-03-08T19:50:25Z |
| format | Article |
| id | doaj.art-8eaa40fbce7e4ea3954a4c46629fe0b8 |
| institution | Directory Open Access Journal |
| issn | 2423-6497 2423-6829 |
| language | English |
| last_indexed | 2024-03-08T19:50:25Z |
| publishDate | 2023-01-01 |
| publisher | Guilan University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Neurosurgery |
| spelling | doaj.art-8eaa40fbce7e4ea3954a4c46629fe0b82023-12-24T08:37:04ZengGuilan University of Medical SciencesIranian Journal of Neurosurgery2423-64972423-68292023-01-019Spinal Cord Injury Caused by Minor Trauma in a Patient with Silent Ossification of the Ligamentum Flavum: Case Report and ReviewAbolfazl RahimizadehHousain SoufianiMahan AmirzadeWalter WilliamsonShaghayegh RahimizadehNaser AsgariBackground and Importance: Acute spinal cord injury without an apparent spinal fracture/dislocation in an asymptomatic subject with silent thoracic ossification of the ligamentum flavum (TOLF) is an extremely rare with only seven fully documented example with this specific scenario in the literature. Case Presentation: A previously healthy middle-aged woman with a history of MRI documented silent TOLF who developed sever weakness of the lower limbs immediately after a minor fall is presented. Repeat MRI revealed appearance of a myelopathy at the site of the preexisting silent T10-T11 OLF. Laminectomy and excision of the O LF result in complete recovery within 6 months. Conclusion: We believe that our asymptomatic patient should had undergone prophylactic surgical intervention before this catastrophic event. In a survey of medical literature, we found that the presented case is the first example with MRI documented TOLF in its silence period.https://irjns.org/article-1-367-en.pdffalllaminectomyligamentum flavumossificationspinal cord injury |
| spellingShingle | Abolfazl Rahimizadeh Housain Soufiani Mahan Amirzade Walter Williamson Shaghayegh Rahimizadeh Naser Asgari Spinal Cord Injury Caused by Minor Trauma in a Patient with Silent Ossification of the Ligamentum Flavum: Case Report and Review Iranian Journal of Neurosurgery fall laminectomy ligamentum flavum ossification spinal cord injury |
| title | Spinal Cord Injury Caused by Minor Trauma in a Patient with Silent Ossification of the Ligamentum Flavum: Case Report and Review |
| title_full | Spinal Cord Injury Caused by Minor Trauma in a Patient with Silent Ossification of the Ligamentum Flavum: Case Report and Review |
| title_fullStr | Spinal Cord Injury Caused by Minor Trauma in a Patient with Silent Ossification of the Ligamentum Flavum: Case Report and Review |
| title_full_unstemmed | Spinal Cord Injury Caused by Minor Trauma in a Patient with Silent Ossification of the Ligamentum Flavum: Case Report and Review |
| title_short | Spinal Cord Injury Caused by Minor Trauma in a Patient with Silent Ossification of the Ligamentum Flavum: Case Report and Review |
| title_sort | spinal cord injury caused by minor trauma in a patient with silent ossification of the ligamentum flavum case report and review |
| topic | fall laminectomy ligamentum flavum ossification spinal cord injury |
| url | https://irjns.org/article-1-367-en.pdf |
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