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作 者:Dongwoo Yu Wonho Lee Min Cheol Chang
机构地区:[1]Department of Neurosurgery,College of Medicine,Yeungnam University,Taegu 705-717,South Korea [2]Department of Radiology,Topspine Hospital,Taegu 41931,South Korea [3]Department of Physical Medicine and Rehabilitation,Spine Center,College of Medicine,Yeungnam University,Taegu 705-717,South Korea
出 处:《World Journal of Clinical Cases》2021年第21期6125-6129,共5页世界临床病例杂志
基 金:Supported by the National Research Foundation of Korea Grant funded by the Korean government,No.NRF-2021R1A2C1013073.
摘 要:BACKGROUND Ligamentum flavum hematoma(LFH)can cause compression of the spinal cord or nerve root,which results in neurological symptoms.We report a case of lumbar radicular pain due to LFH following a traffic accident.CASE SUMMARY A 59-year-old man complained of left buttock and lateral thigh pain that was dull in nature after a traffic accident 18 d prior to presentation.Magnetic resonance imaging(MRI),taken 17 d after the traffic accident,revealed a mass lesion at the L4-5 Level.These MRI findings suggested subacute LFH.The patient’s pain was not alleviated with conservative treatment,including oral medication and epidural steroid injection.After a partial-hemilaminectomy and removal of LFH,the patient’s pain completely disappeared.CONCLUSION Because early operation for decompression is important for a good outcome,clinicians should be able to determine LFH from MRI results and be aware of the possibility of LFH,especially in patients with a history of trauma.
关 键 词:Liga-mentum flavum hematoma Traffic accident Radicular pain LAMINECTOMY Magnetic resonance imaging Case report
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