황색인대골화에 의한 흉부 늑간신경통 1예

A Case of Thoracic Intercostal Neuralgia due to Ossification of the Ligamentum Flavum

  • 이동국 (대구가톨릭대학교 의과대학 신경과학교실) ;
  • 김지언 (대구가톨릭대학교 의과대학 신경과학교실)
  • Lee, Dong Kuck (Department of Neurology, School of Medicine, Catholic University of Daegu) ;
  • Kim, Ji Eun (Department of Neurology, School of Medicine, Catholic University of Daegu)
  • 발행 : 2002.05.01

초록

Ossification of the ligamentum flavum(OLF) is not infrequent in the cervical and lumbar regions but is very rare in the thoracic spine. We reported a 62-year-old women with left thoracic intercostal neuralgia due to an OLF. Physical and neurological examination were normal. MRI showed an OLF with compression of the thecal sac in the posterolateral aspect of the T9-T10 level. Laminectomy and removal of the ligament resulted in marked clinical improvement. OLF is known to cause thoracic radiculomyelopathy, but presentation with intercostal neuralgia only is very rare.

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