scholarly journals Ligamentum Flavum Hematoma Associated with L5–S1 Pars Interarticularis Defect: A Case Report and Review of the Literature

2020 ◽  
Author(s):  
Kenan Kıbıcı ◽  
Berrin Erok ◽  
Ahmet Çolak
Keyword(s):  
Nerve Root ◽  
Ligamentum Flavum ◽  
Histopathological Examination ◽  
Clinical Manifestations ◽  
Spinal Instability ◽  
Surgical Removal ◽  
Nerve Root Compression ◽  
Left Posterior ◽  
Pars Interarticularis ◽  
Magnetic Resonance Imaging Mri

AbstractLigamentum flavum hematoma (LFH) is an extremely rare compressive epidural lesion of the spine. The clinical manifestations of LFH are similar to that caused by other more common pathologies of nerve root compression like disc herniation. In the diagnosis, magnetic resonance imaging (MRI) is very important but challenging due to the changing intensities of the hematoma in relation to the stages of the aging blood. Herein, we report a case of LFH compressing the spinal canal in a 60-year-old man with pars interarticularis defect. He presented with low back pain radiating to the left leg. The neurological examination was consistent with left S1 nerve root compression. The MRI revealed a left posterior epidural mass compressing the thecal sac and S1 nerve root at the left L5–S1 level near the pars interarticularis defect. After surgical removal of the lesion, histopathological examination confirmed the diagnosis of LFH. Following surgery, he recovered rapidly. LFH due to spinal instability is important in terms of the understanding of the pathophysiological mechanisms related with LFH.

Nodule of the Ligamentum Flavum as a Cause of Nerve Root Compression

1967 ◽  
Vol 27 (5) ◽  
pp. 456-458 ◽  
Author(s):  
Richard H. Moiel ◽  
George Ehni ◽  
M. Sidney Anderson
Keyword(s):  
Nerve Root ◽  
Ligamentum Flavum ◽  
Nerve Root Compression

scholarly journals Morphological changes of the ligamentum flavum as a cause of nerve root compression

2004 ◽  
Vol 14 (3) ◽  
pp. 277-286 ◽  
Author(s):  
Teruaki Okuda ◽  
Yoshinori Fujimoto ◽  
Nobuhiro Tanaka ◽  
Osamu Ishida ◽  
Itsushi Baba ◽  
...  
Keyword(s):  
Nerve Root ◽  
Ligamentum Flavum ◽  
Morphological Changes ◽  
Nerve Root Compression

Lumbar nerve root compression by synovial cysts of the ligamentum flavum

1984 ◽  
Vol 60 (3) ◽  
pp. 617-620 ◽  
Author(s):  
Adel F. Abdullah ◽  
Robert W. Chambers ◽  
Dennis P. Daut
Keyword(s):  
Nerve Root ◽  
Ligamentum Flavum ◽  
Nerve Root Compression ◽  
Nerve Roots ◽  
Content Type ◽  
Lumbar Nerve Root ◽  
Synovial Cysts ◽  
Fine Print

✓ Synovial cysts of the ligamentum flavum, measuring 1 cm in diameter, caused compression of the lumbar nerve roots in four patients. The authors discuss the association of these cysts with advanced focal spondylosis, and speculate on their etiology.

Sacral radiculopathy due to cement leakage from percutaneous sacroplasty, successfully treated with surgical decompression

2013 ◽  
Vol 18 (5) ◽  
pp. 524-528 ◽  
Author(s):  
Sean M. Barber ◽  
Andrew D. Livingston ◽  
David A. Cech
Keyword(s):  
Nerve Root ◽  
Case Reports ◽  
Cement Leakage ◽  
Surgical Decompression ◽  
Surgical Removal ◽  
Nerve Root Compression ◽  
Canal Stenosis ◽  
Small Series ◽  
Experienced Pain ◽  
Sacral Insufficiency Fractures

Percutaneous sacroplasty is a procedure adapted from vertebroplasty, which is designed to ameliorate the painful morbidity associated with sacral insufficiency fractures without the invasiveness of open surgery. Early estimates of efficacy, according to several case reports and small series, appear promising, but the procedure is not without risk. Several cases of radiculopathy due to nerve root compression by extravasated polymethylmethacrylate (PMMA) have been reported. The authors present a case of radiculopathy caused by cement leakage from sacroplasty, treated with surgical decompression of the compromised nerve root. The patient presented with left S-1 radiculopathy and was found on CT to have a left S-1 nerve root completely encased in PMMA over a portion of its length. The patient underwent sacral laminectomy with the removal of PMMA and experienced pain relief and the return of function postoperatively. Surgical removal of PMMA extravasated during sacroplasty is feasible and should be considered when nerve root compression or canal stenosis causes pain or neurological deficit refractory to conservative therapy.

Disseminated intraspinal hydatid disease

2008 ◽  
Vol 8 (5) ◽  
pp. 490-493 ◽  
Author(s):  
Yashar Moharamzad ◽  
Homayoun Hadizadeh Kharazi ◽  
Elham Shobeiri ◽  
Gholamreza Farzanegan ◽  
Forough Hashemi ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Hydatid Disease ◽  
Nerve Root ◽  
Soft Tissues ◽  
Radical Resection ◽  
Surgical Removal ◽  
Recurrent Nerve ◽  
Nerve Root Compression ◽  
Term Administration ◽  
Disseminated Disease

✓Spinal echinococcosis is a rare entity, accounting for 1% of all cases of hydatid disease. The authors report the case of a 60-year-old man whom they treated for recurrent nerve root compression due to disseminated intraspinal echinococcosis (hydatid disease). Six years previously he had undergone surgery on an emergency basis at another institution after presenting with acute paraplegia due to a primary extradural hydatid cyst of the thoracic spine. Unfortunately, during surgical removal of the cysts, the echinococcosis disseminated into the spinal canal. This complication was documented by magnetic resonance (MR) imaging. In the 4 years before the authors treated him, he was hospitalized 4 times for 4 recurrences of nerve root compression. The authors treated the disseminated disease successfully with total T7–8 corpectomy, grafting with titanium cage and Texas Scottish Rite Hospital instrumentation, and long-term administration of albendazole (400 mg daily). Early diagnosis, proper utilization of MR imaging, and radical resection of diseased vertebrae and soft tissues followed by anthelmintic treatment are essential to control disseminated spinal hydatidosis and prevent recurrence.

Ligamentum flavum hematoma

1992 ◽  
Vol 76 (3) ◽  
pp. 534-537 ◽  
Author(s):  
Thomas A. Sweasey ◽  
Hans C. Coester ◽  
Harish Rawal ◽  
Mila Blaivas ◽  
John E. McGillicuddy
Keyword(s):  
Nerve Root ◽  
Epidural Hematoma ◽  
Ligamentum Flavum ◽  
Signs And Symptoms ◽  
Normal Function ◽  
Neurological Deficits ◽  
Nerve Root Compression ◽  
Content Type ◽  
Fine Print

✓ Two patients presenting with signs and symptoms suggestive of nerve root compression secondary to extradural masses were found to have ligamentum flavum hematomas. Both patients had neurological deficits preoperatively and regained normal function postoperatively. There was no significant antecedent injury in either case. The symptom course was longer than that for spontaneous epidural hematoma. In one case, there was remodeling of bone, initially suggesting either infection or tumor.

scholarly journals Compression of the Cauda Equina due to a Necrobiotic Granuloma of Ligamentum Flavum

1975 ◽  
Vol 2 (2) ◽  
pp. 135-138 ◽  
Author(s):  
Juan M. Bilbao ◽  
William Horsey ◽  
Charles Gonsalves ◽  
Ara Chalvardjian
Keyword(s):  
Nerve Root ◽  
Ligamentum Flavum ◽  
Cauda Equina ◽  
Nerve Root Compression ◽  
Radiological Findings ◽  
Histological Features ◽  
Lumbar Nerve Root

SUMMARY:A 56 year old woman developed symptoms of lumbar nerve root compression caused by a granuloma arising in the ligamentum flavum. The histological features of the lesion are discussed and the clinical and radiological findings of the patient are described.

Spinal Subdural Empyema

Neurosurgery ◽  
1978 ◽  
Vol 3 (3) ◽  
pp. 400-403
Author(s):  
Ralph G. Dacey ◽  
Richard H. Winn ◽  
John A. Jane ◽  
Albert B. Butler
Keyword(s):  
Back Pain ◽  
Intracerebral Hemorrhage ◽  
Lumbar Puncture ◽  
Spontaneous Abortion ◽  
Neurological Deficit ◽  
Nerve Root ◽  
Clinical Manifestations ◽  
Subdural Empyema ◽  
Nerve Root Compression

Abstract Spinal subdural empyema (SSE) is a rare variety of intraspinal infection. SSE should be suspected in patients presenting with fever, back pain, and signs of cord or nerve root compression. Two patients with SSE are presented. The first patient complained of fever and back pain. She had no neurological deficit but was found to have SSE. The second patient, who presented with intracerebral hemorrhage in the fifth month of pregnancy and spontaneous abortion, was found to have SSE at lumbar puncture. The clinical manifestations and management are discussed.

scholarly journals Lumbar Lateral Recess Decompression: 2-Dimensional Operative Video

2020 ◽  
Vol 19 (4) ◽  
pp. E394-E394 ◽  
Author(s):  
Siri Sahib S Khalsa ◽  
Yamaan S Saadeh ◽  
Timothy J Yee ◽  
Michael J Strong ◽  
Brandon W Smith ◽  
...  
Keyword(s):  
Nerve Root ◽  
Ligamentum Flavum ◽  
Foraminal Stenosis ◽  
Mri Findings ◽  
Neural Foramen ◽  
Lateral Recess ◽  
Lateral Recess Stenosis ◽  
Lumbar Nerve Root ◽  
Patient Consent ◽  
Magnetic Resonance Imaging Mri

Abstract Lateral recess stenosis is a common cause of lumbar radiculopathy in adults. A lumbar nerve root travels in the lateral recess prior to exiting the spinal canal via the neural foramen. In the lateral recess, the traversing nerve root is susceptible to compression by the degenerative hypertrophy of the medial facet in addition to hypertrophied ligamentum flavum and herniated intervertebral disc.1 These degenerative changes are also typically associated with neural foraminal stenosis. Surgical treatment in unilateral cases consists of hemilaminectomy, medial facetectomy, foraminotomy, and, if applicable, microdiscectomy. In this video, we present a case of a 64-yr-old male presenting with progressive left L5 radiculopathy refractory to conservative management, with magnetic resonance imaging (MRI) findings of left L4-5 foraminal and lateral recess stenosis. We demonstrate the operative steps to complete a left L4-5 hemilaminectomy, medial facetectomy, foraminotomy, and microdiscectomy. Appropriate patient consent was obtained.

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