دورية أكاديمية
A patient with cervical ligamentum flavum haematoma: case report.
| العنوان: | A patient with cervical ligamentum flavum haematoma: case report. |
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| المؤلفون: | Xu N; Department of Orthopedics, Zhongshan Hospital Fudan University, Shanghai, 200032, China., Jiang C; Department of Orthopedics, Zhongshan Hospital Fudan University, Shanghai, 200032, China., Chen Z; Department of Orthopedics, Zhongshan Hospital Fudan University, Shanghai, 200032, China., Feng Z; Department of Orthopedics, Zhongshan Hospital Fudan University, Shanghai, 200032, China., Jiang C; Department of Orthopedics, Zhongshan Hospital Fudan University, Shanghai, 200032, China., Cao Y; Department of Orthopedics, Zhongshan Hospital Fudan University, Shanghai, 200032, China. cao.yuanwu@zs-hospital.sh.cn. |
| المصدر: | Spinal cord series and cases [Spinal Cord Ser Cases] 2024 Aug 29; Vol. 10 (1), pp. 65. Date of Electronic Publication: 2024 Aug 29. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101680856 Publication Model: Electronic Cited Medium: Internet ISSN: 2058-6124 (Electronic) Linking ISSN: 20586124 NLM ISO Abbreviation: Spinal Cord Ser Cases Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : Nature Publishing Group, [2015]- |
| مواضيع طبية MeSH: | Ligamentum Flavum*/pathology , Ligamentum Flavum*/diagnostic imaging , Ligamentum Flavum*/surgery , Cervical Vertebrae*/diagnostic imaging , Cervical Vertebrae*/surgery , Hematoma*/surgery , Hematoma*/diagnostic imaging , Hematoma*/complications , Hematoma*/etiology, Humans ; Male ; Aged ; Magnetic Resonance Imaging ; Laminectomy ; Spinal Cord Injuries/complications ; Spinal Cord Injuries/diagnostic imaging ; Spinal Cord Injuries/surgery |
| مستخلص: | Introduction: Ligamentum flavum haematoma (LFH) is an extremely rare entity, found mostly in the lumbar and thoracic ligamentum flavum and seldom in the cervical ligamentum flavum. Cervical LFH can cause paralysis in patients. We describe a case of LFH in the cervical spine that accepted surgical treatment. Case Presentation: A 70-year-old man with incomplete spinal cord injury presented with sudden paralysis of his left limbs for 10 days and hemi-hypaesthesia below the level of the right clavicle. Magnetic resonance imaging (MRI) showed a space-occupying lesion in the left ligamentum flavum between the C4 and C5 laminae. The preliminary diagnoses were concluded to be incomplete spinal cord injury, spinal epidural lesions, and cervical spinal stenosis. After a posterior C3-C6 laminectomy with lateral mass screw instrumentation, the muscle strength and sensation recovered partially. The lesion was greyish black and located in the ligamentum flavum. A pathological examination identified it as a haematoma of the ligamentum flavum. The patient was discharged 15 days after the operation and commenced rehabilitation. Discussion: The LFH was mainly caused by slight trauma during gentle activities and contributed by many factors. MRI is an essential tool but pathological diagnosis is the gold standard. Most LFH patients can be treated surgically. (© 2024. The Author(s), under exclusive licence to International Spinal Cord Society.) |
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| تواريخ الأحداث: | Date Created: 20240829 Date Completed: 20240829 Latest Revision: 20240901 |
| رمز التحديث: | 20240902 |
| مُعرف محوري في PubMed: | PMC11362265 |
| DOI: | 10.1038/s41394-024-00679-6 |
| PMID: | 39209808 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2058-6124 |
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| DOI: | 10.1038/s41394-024-00679-6 |