强化显影的腰椎黄韧带血肿。
A contrast-enhancing lumbar ligamentum flavum haematoma.
作者信息
Ghent Finn, Ye Xuan, Yan Max, Mobbs Ralph J
机构信息
Department of Neurosurgery, Prince of Wales Hospital, Sydney, New South Wales, Australia.
出版信息
BMJ Case Rep. 2014 Mar 18;2014:bcr2013202521. doi: 10.1136/bcr-2013-202521.
Abstract
We 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.
摘要
我们报告一例因黄韧带血肿导致腰神经受压引起下背痛的病例，该病例通过手术成功治愈。一名62岁男性因下背痛伴腿部疼痛及马尾综合征早期症状接受评估。腰椎MRI显示L3椎板旁有一强化肿块，导致严重的椎管狭窄。建议手术切除该病变。患者接受了L3椎板切除术及硬膜外病变切除术。组织病理学显示为黄韧带血肿，无不良特征。患者康复，无并发症。
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