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以腰痛为表现的黄韧带血肿：一例报告及文献复习

Ligamentum Flavum Hematoma Presented with Low Back Pain: A Case Report and Review of the Literature.

作者信息

Salehpour Firooz, Mirzaei Farhad, Rezakhah Amir, Aeinfar Kamkar, Kazemzadeh Mohammad, Alavi Seyed Ahmad Naseri

机构信息

Department of Neurosurgery, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Int J Spine Surg. 2018 Aug 15;12(3):337-341. doi: 10.14444/5039. eCollection 2018 Jun.

DOI:10.14444/5039
PMID:30276090
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6159656/
Abstract

A 61-year-old woman with no past medical history presented with low back pain and radicular pain in the right lower extremity. Magnetic resonance imaging of the lumbar spine showed a heterogeneous intensity mass in the lateral recess of the spinal canal at the L4-5 disk level. Postoperatively, her radicular pain resolved within a few days with excellent low back pain relief. Ligamentum flavum hematoma is a rare differential diagnosis for cystic lesions in the lumbar spine that can be removed simply by surgery with excellent relief of symptoms and improvement in strength of the right lower extremity and increased sensitivity.

摘要

一名61岁无既往病史的女性出现腰痛及右下肢放射性疼痛。腰椎磁共振成像显示L4 - 5椎间盘水平椎管侧隐窝有一信号不均匀的肿块。术后，她的放射性疼痛在数天内缓解，腰痛也得到了显著缓解。黄韧带血肿是腰椎囊性病变的一种罕见鉴别诊断，可通过手术简单切除，症状得到显著缓解，右下肢力量增强，感觉敏感度提高。

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A contrast-enhancing lumbar ligamentum flavum haematoma.强化显影的腰椎黄韧带血肿。
BMJ Case Rep. 2014 Mar 18;2014:bcr2013202521. doi: 10.1136/bcr-2013-202521.
2
Lumbar ligamentum flavum hematoma treated with endoscopy.内镜治疗腰椎黄韧带血肿
Orthopedics. 2011 Jul 7;34(7):e324-7. doi: 10.3928/01477447-20110526-27.
3
Ligamentum flavum cyst in the lumbar spine: a case report and review of the literature.腰椎黄韧带囊肿：病例报告及文献复习。
J Orthop Traumatol. 2010 Jun;11(2):117-22. doi: 10.1007/s10195-010-0094-y. Epub 2010 Jun 26.
4
Ligamentum flavum haematoma: a report of two cases.黄韧带血肿：两例报告
J Orthop Surg (Hong Kong). 2009 Aug;17(2):212-5. doi: 10.1177/230949900901700219.
5
A ligamentum flavum hematoma presenting as an L5 radiculopathy.表现为L5神经根病的黄韧带血肿。
J Clin Neurosci. 2007 Oct;14(10):994-7. doi: 10.1016/j.jocn.2006.05.015. Epub 2007 Jul 31.
6
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7
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