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腰椎黄韧带血肿酷似脊柱肿瘤:一例报告并文献复习

Ligamentum flavum hematoma in the lumbar spine mimicking spinal tumor: A case report and review of the literature.

作者信息

Sahri Imad-Eddine, Tlemcani Zakaria Chandid, Abide Zakaria, Obame Fresnel Lutèce Ontsi, Ramdani Hanae, Mohammed Mohssani, Dokponou Yao Christian Hugues, Elmi Saad Moussa, Imbunhe Napoleão, Akroud Sofia El, Cherif ElAsri Abad, Miloudi Gazzaz

机构信息

Department of Neurosurgery- Mohammed V Military Hospital-Rabat, Souissi St, 10100 Rabat, Morocco.

Department of Radiology - Mohammed V Military Hospital-Rabat, Rabat, Morocco.

出版信息

Radiol Case Rep. 2023 Jun 22;18(9):3060-3064. doi: 10.1016/j.radcr.2023.05.073. eCollection 2023 Sep.

DOI:10.1016/j.radcr.2023.05.073
PMID:37434624
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10331011/
Abstract

Liagmentum flavum hematoma (LFH) is a rare cause of radiculopathy and low back pain, sharing similar symptomatology with disc herniation. It predominantly affects the lumbar thoracic spine. The underlying mechanism of LFH remains unclear; however, surgical removal of the hematoma has consistently demonstrated excellent outcomes. The objective of this case report is to emphasize the significance of diagnosing LFH. We present a surgically confirmed lumbar LFH case that mimicked a lumbar tumor, highlighting the challenges encountered during diagnosis and subsequent management.

摘要

黄韧带血肿(LFH)是神经根病和腰痛的罕见病因,其症状与椎间盘突出症相似。它主要影响胸腰椎。LFH的潜在机制尚不清楚;然而,手术切除血肿一直显示出良好的效果。本病例报告的目的是强调诊断LFH的重要性。我们报告一例经手术证实的腰椎LFH病例,该病例酷似腰椎肿瘤,突出了诊断及后续治疗过程中遇到的挑战。

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Surg Neurol Int. 2022 Nov 25;13:550. doi: 10.25259/SNI_967_2022. eCollection 2022.
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A Succession of MRI Scans Supports the Diagnosis of Lumbar Ligamentum Flavum Hematoma: A Case Report and Review of the Literature.一系列磁共振成像扫描支持黄韧带血肿的诊断:一例报告及文献复习
Case Rep Orthop. 2018 Nov 27;2018:2860621. doi: 10.1155/2018/2860621. eCollection 2018.
3
Ligamentum flavum hematoma due to stretching exercise.
拉伸运动导致的黄韧带血肿
Am J Emerg Med. 2016 Oct;34(10):2058.e3-2058.e6. doi: 10.1016/j.ajem.2016.03.042. Epub 2016 Mar 22.
4
Ligamentum flavum hematomas: Why does it mostly occur in old Asian males? Interesting point of reported cases: Review and case report.黄韧带血肿:为何多见于老年亚洲男性?报告病例的有趣之处:综述与病例报告。
J Craniovertebr Junction Spine. 2016 Jan-Mar;7(1):7-12. doi: 10.4103/0974-8237.176605.
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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.
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Lumbar ligamentum flavum hematoma treated with endoscopy.内镜治疗腰椎黄韧带血肿
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