Document Detail

Chronic subdural hematoma coexisting with ligamentum flavum hematoma in the lumbar spine: a case report.
MedLine Citation:
PMID:  16960349     Owner:  NLM     Status:  MEDLINE    
We present a case of a chronic spinal subdural hematoma combined with a ligamentum flavum hematoma in the lumbar spine treated surgically. An 83-year-old woman receiving antiplatelet medicine due to an angina suffered from pain in her lower extremity and gait disturbance after a backward fall. Radiological findings including magnetic resonance imaging (MRI) revealed hematoma in the ligamentum flavum at the level of L2 - L3 and a chronic subdural hematoma at the level from L3 to L5. Laminectomy through L2 to L5 was performed and a hematoma existing in the ligamentum flavum and cystic mass was removed. A chronic subdural hematoma was spontaneously evacuated after splitting of the dura mater and an intact arachnoid membrane was observed with no leakage of cerebrospinal fluid. Her clinical symptoms completely disappeared after surgery. To the best of our knowledge, this is the first case of combination of chronic subdural hematoma and ligamentum flavum hematoma in the lumbar spine treated by surgery. Chronic spinal subdural hematoma and hematoma in the ligamentum flavum should be considered as a cause of progressive nerve root compression in patients with anticoagulant therapy, and an appropriate pre-operative diagnosis would be needed to achieve complete decompression of subdural and epidural hematoma.
Yoichi Shimada; Yuji Kasukawa; Naohisa Miyakoshi; Michio Hongo; Shigeru Ando; Eiji Itoi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Tohoku journal of experimental medicine     Volume:  210     ISSN:  0040-8727     ISO Abbreviation:  Tohoku J. Exp. Med.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-08     Completed Date:  2006-10-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417355     Medline TA:  Tohoku J Exp Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  83-9     Citation Subset:  IM    
Rehabilitation Division, Akita University Hospital, Japan.
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MeSH Terms
Aged, 80 and over
Hematoma / complications*,  diagnosis,  surgery
Hematoma, Subdural, Chronic / complications*,  diagnosis,  surgery
Ligamentum Flavum / pathology*
Lumbar Vertebrae / pathology*
Magnetic Resonance Imaging
Tomography, X-Ray Computed
Treatment Outcome

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