Ligamentum Flavum Haematoma: A Report of Two Cases

We present 2 cases of ligamentum flavum haematoma causing root compression. Magnetic resonance imaging showed an epidural mass linked to the ligamentum flavum. The mass was isointense in T1-weighted images, and was centrally hyperintense and peripherally hypointense in T2-weighted images. Surgical r...

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Main Authors: Hiroshi Takahashi, Akihito Wada, Yuichirou Yokoyama, Shinichirou Fukushi, Tatsuro Sakurai, Kazutoshi Shibuya, Toru Suguro
Format: Article
Language:English
Published: SAGE Publishing 2009-08-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949900901700219
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author Hiroshi Takahashi
Akihito Wada
Yuichirou Yokoyama
Shinichirou Fukushi
Tatsuro Sakurai
Kazutoshi Shibuya
Toru Suguro
author_facet Hiroshi Takahashi
Akihito Wada
Yuichirou Yokoyama
Shinichirou Fukushi
Tatsuro Sakurai
Kazutoshi Shibuya
Toru Suguro
author_sort Hiroshi Takahashi
collection DOAJ
description We present 2 cases of ligamentum flavum haematoma causing root compression. Magnetic resonance imaging showed an epidural mass linked to the ligamentum flavum. The mass was isointense in T1-weighted images, and was centrally hyperintense and peripherally hypointense in T2-weighted images. Surgical removal of the ligamentum flavum achieved resolution of the symptoms. The definitive diagnosis could only be confirmed by histopathological examinations. The differential diagnoses include lumbar disc herniation and lumbar spinal canal stenosis caused by neoplasm, infection, epidural haematoma, or facet cyst.
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spelling doaj.art-f8c68216db8e40fea110df3210e1052f2022-12-21T21:09:37ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902009-08-011710.1177/230949900901700219Ligamentum Flavum Haematoma: A Report of Two CasesHiroshi Takahashi0Akihito Wada1Yuichirou Yokoyama2Shinichirou Fukushi3Tatsuro Sakurai4Kazutoshi Shibuya5Toru Suguro6 Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan Department of Pathology, Toho University School of Medicine, Tokyo, Japan Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, JapanWe present 2 cases of ligamentum flavum haematoma causing root compression. Magnetic resonance imaging showed an epidural mass linked to the ligamentum flavum. The mass was isointense in T1-weighted images, and was centrally hyperintense and peripherally hypointense in T2-weighted images. Surgical removal of the ligamentum flavum achieved resolution of the symptoms. The definitive diagnosis could only be confirmed by histopathological examinations. The differential diagnoses include lumbar disc herniation and lumbar spinal canal stenosis caused by neoplasm, infection, epidural haematoma, or facet cyst.https://doi.org/10.1177/230949900901700219
spellingShingle Hiroshi Takahashi
Akihito Wada
Yuichirou Yokoyama
Shinichirou Fukushi
Tatsuro Sakurai
Kazutoshi Shibuya
Toru Suguro
Ligamentum Flavum Haematoma: A Report of Two Cases
Journal of Orthopaedic Surgery
title Ligamentum Flavum Haematoma: A Report of Two Cases
title_full Ligamentum Flavum Haematoma: A Report of Two Cases
title_fullStr Ligamentum Flavum Haematoma: A Report of Two Cases
title_full_unstemmed Ligamentum Flavum Haematoma: A Report of Two Cases
title_short Ligamentum Flavum Haematoma: A Report of Two Cases
title_sort ligamentum flavum haematoma a report of two cases
url https://doi.org/10.1177/230949900901700219
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