ArticleSurgical neurology international2022
Case of lumbar ligamentum flavum hematoma with epidural hematoma resulting in cauda equina compression.
Article in Surgical neurology international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- Slow-growing hematoma in the thoracic ligamentum flavum: illustrative case.Journal of neurosurgery. Case lessons · 2026Article
- Lumbar ligamentum flavum hematoma at L3-4 treated with full-endoscopic laminectomy: a case report.Journal of spine surgery (Hong Kong) · 2025Article
- Full-endoscopic Spine Surgery for the Treatment of Lumbar Ligamentous Flavum Hematoma.Neurologia medico-chirurgica · 2024Article
- Ligamentum flavum hematoma in the lumbar spine mimicking spinal tumor: A case report and review of the literature.Radiology case reports · 2023Article
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Authors and funding
5 authors at 2 institutions in 1 country.
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Abstract
Background: Lumbar ligamentum flavum hematomas (LFHs) are rare. However, when they occur and contribute to epidural cauda equina compression, timely surgical intervention is frequently warranted. Case Description: A 69-year-old female presented with the left lower extremity sciatica and gait disturbance of 2 weeks' duration that ultimately evolved into a paraparesis/cauda equina syndrome. When the lumbar MRI revealed left-sided L4-L5 epidural compression attributed to a hemorrhage into the hypertrophied ligamentum flavum (HLF), she successfully underwent a bilateral fenestration/decompressive procedure. Pathologically, neovascularization and rupture of the ventral layers of the degenerated and thickened HLF contributed to the LFH. Conclusion: Arterial neovascularization (i.e., arterial feeding vessels from paramuscular/prelaminar lumbar branches) contributed to a left-sided L4-L5 LFH that resulted in epidural cauda equina compression in a 69-year-old female. Following surgical focal fenestration/decompression, the patient's symptoms/signs resolved.
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