Browse > Article

Spontaneous Ligamentum Flavum Hematoma in the Rigid Thoracic Spine : A Case Report and Review of the Literature  

Lee, Hyun-Woo (Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, Hallym University)
Song, Joon-Ho (Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, Hallym University)
Chang, In-Bok (Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, Hallym University)
Choi, Hyun-Chul (Department of Neurosurgery, Sacred Heart Hospital, College of Medicine, Hallym University)
Publication Information
Journal of Korean Neurosurgical Society / v.44, no.1, 2008 , pp. 47-51 More about this Journal
Abstract
Ligamentum flavum hematoma is a rare condition. Twenty cases including present case have been reported in English-language literature. Among them, only one case reported in pure thoracic spine. A 72-year-old man presented with thoracic myelopathy without precedent cause. Magnetic resonance images revealed a posterior semicircular mass which was located in T7 and T8 level compressing the spinal cord dorsally. T7-8 total laminectomy and extirpation of the mass was performed. One month later following surgery, the patient fully recovered to normal state. Pathologic result was confirmed as ligamentum flavum hematoma. Ligamentum flavum hematoma of rigid thoracic spine is a very rare disease entity. Most reported cases were confined to mobile cervical and lumbar spine. Surgeons should be aware that there seems to be another different pathogenesis other than previously reported cases of mobile cervical and lumbar spine.
Keywords
Ligamentum flavum; Hematoma; Thoracic spine; Myelopathy;
Citations & Related Records

Times Cited By Web Of Science : 3  (Related Records In Web of Science)
Times Cited By SCOPUS : 2
연도 인용수 순위
1 Albanese A, Braconi A, Anile C, Mannino S, Sabatino G, Mangiola A : Spontaneous haematoma of ligamentum flavum. Case report and literature review. J Neurosurg Sci 50 : 59-61, 2006   PUBMED
2 Chi TW, Li KT, Chieng PU : Post-traumatic ligamentum flavum hematoma : a case report. Kaohsiung J Med Sci 20 : 41-44 2004   DOI   ScienceOn
3 Cruz-Conde R, Berjano P, Buitron Z : Ligamentum flavum hematoma presenting as progressive root compression in the lumbar spine. Spine 20 : 1506-1509, 1995   DOI   PUBMED   ScienceOn
4 Mahallati H, Wallace CJ, Hunter KM, Bilbao JM, Clark AW : MR imaging of a hemorrhagic and granulomatous cyst of the ligamentum flavum with pathologic correaltion. AJNR Am J Neuroradiol 20 : 1166-1168,1999   PUBMED
5 Minamide A, Yoshida M, Tamaki T, Natsumi K : Ligamentum flavum hematoma in the lumbar spine. J Orthop Sci 4 : 376-379, 1999   DOI
6 Mizuno J, Nakagawa H, Inoue T, Hashizume Y : Ligamentum flavum hematoma in the lumbar spine. Neurol Med Chir (Tokyo) 45 : 212-215, 2005   DOI   ScienceOn
7 Nishida K, Iguchi T, Kurihara A, Doita M, Kasahara K, Yoshiya S : Symptomatic hematoma of lumbar facet joint : joint apoplexy of the spine?. Spine 28 : E206-208, 2003   DOI
8 Yuceer N, Baskaya MK, Smith P, Willis BK : Hematoma of the ligamentum flavum in the lumbar spine : case report. Surg Neurol 53 : 598-600, 2000   DOI   ScienceOn
9 Herkowitz HN : The Spine, ed4. Philadelphia, Pensylvenia : Rothman & Simeone, 2006, pp23-25
10 Keynan O, Smorgick Y, Schwartz AJ, Ashkenazi E, Floman Y : Spontaneous ligamentum flavum hematoma in the lumbar spine. Skeletal Radiol 35 : 687-689, 2006   DOI
11 Shimada Y, Kasukawa Y, Miyakoshi N, Hongo M, Ando S, Itoi E : Chronic subdural hematoma coexisting with ligamentum flavum hematoma in the lumbar spine : a case report. Tohoku J Exp Med : 83-89, 2006   PUBMED
12 Miyakoshi N, Shimada Y, Kasukawa Y, Ando S : Ligamentum flavum hematoma in the cervical spine - case report. Neurol Med Chir (Tokyo) 46 : 556-558, 2006   DOI   ScienceOn
13 Miyakoshi N, Shimada Y, Okada K, Hongo M, Kasukawa Y, Itoi E : Ligamentum flavum hematoma in the rigid thoracic spinal segments : case report. J Neurosurg Spine 2 : 495-497, 2005   DOI   ScienceOn
14 Sweasey TA, Coester HC, Rawal H, Blaivas M, McGillicuddy JE : Ligamentum flavum hematoma. Report of two cases. J Neurosurg 76 : 534-537, 1992   DOI
15 Spuck S, Stellmacher F, Wiesmann M, Kranz R : Case reports: a rare cause of radicular complaints: ligamentum flavum hematoma. Clin Orthop Relat Res 443 : 337-341, 2006   DOI
16 Hirakawa K, Hanakita J, Suwa H, Matsuoka N, Oda M, Muro H, et al : A post-traumatic ligamentum flavum progressive hematoma : a case report. Spine 25 : 1182-1184, 2000   DOI   ScienceOn
17 Maezawa Y, Baba H, Uchida K, Kokubu Y, Kubota C, Noriki S : Ligamentum flavum hematoma in the thoracic spine. Clin Imaging 25 : 265-267, 2001   DOI   ScienceOn
18 Chen HC, Hsu PW, Lin CY, Tzaan WC : Symptomatic hematoma of cervical ligamentum flavum : case report. Spine 30 : E489-491, 2005   DOI   ScienceOn
19 Yamaguchi S, Hida K, Akino M, Seki T, Yano S, Iwasaki Y : Ligamentum flavum hematoma in the lumbar spine. Neurol Med Chir (Tokyo) 45 : 272-276, 2005   DOI   ScienceOn