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A succession of MRI scans supports the diagnosis of lumbar ligamentum flavum hematoma: A case report and review of the literature

A succession of MRI scans supports the diagnosis of lumbar ligamentum flavum hematoma: A case report and review of the literature
A succession of MRI scans supports the diagnosis of lumbar ligamentum flavum hematoma: A case report and review of the literature
Ligamentum flavum hematoma (LFH) is a rare cause of spinal nerve compression. This condition remains challenging to diagnose using MRI due to the changing intensity of the hematoma on imaging. The aim of this study was to describe the patient with LFH who had a succession of MRI scans carried out. We report on a 71-year-old woman with a mass at L4/5 and decompression surgery was performed for her left leg symptom. She had MRI carried out in a previous hospital and also had MRI again in our hospital. In a 2nd MRI of the same area, after a 2-week interval, a newly isointense mass was present within the anterior part of the previously identified lesion on T1-weighted image and the hyperintense area in the lesion was a little extended on T2-weighted imaging. Her symptoms were resolved immediately after decompression surgery. Following a review of previous cases, we suggest that consecutive MRI scanning may support the diagnostic process for LFH.
Ishimoto, Yuyu
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Kawakami, Mamoru
8046078f-5886-4d3e-8004-040bef405593
Curtis, Elizabeth
12aba0c3-1e9e-49ef-a7e9-3247e649cdd6
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Moriguchi, Nami
55127908-e745-4580-a2e3-0ee80cc9dd32
Nakagawa, Yukihiro
e43baf0b-a3db-4fe8-9607-bcac100d2d49
Ishimoto, Yuyu
8c8108ca-80de-494e-8338-1783396b26eb
Kawakami, Mamoru
8046078f-5886-4d3e-8004-040bef405593
Curtis, Elizabeth
12aba0c3-1e9e-49ef-a7e9-3247e649cdd6
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Moriguchi, Nami
55127908-e745-4580-a2e3-0ee80cc9dd32
Nakagawa, Yukihiro
e43baf0b-a3db-4fe8-9607-bcac100d2d49

Ishimoto, Yuyu, Kawakami, Mamoru, Curtis, Elizabeth, Cooper, Cyrus, Moriguchi, Nami and Nakagawa, Yukihiro (2018) A succession of MRI scans supports the diagnosis of lumbar ligamentum flavum hematoma: A case report and review of the literature. Case Reports in Orthopedics, 2018. (doi:10.1155/2018/2860621).

Record type: Article

Abstract

Ligamentum flavum hematoma (LFH) is a rare cause of spinal nerve compression. This condition remains challenging to diagnose using MRI due to the changing intensity of the hematoma on imaging. The aim of this study was to describe the patient with LFH who had a succession of MRI scans carried out. We report on a 71-year-old woman with a mass at L4/5 and decompression surgery was performed for her left leg symptom. She had MRI carried out in a previous hospital and also had MRI again in our hospital. In a 2nd MRI of the same area, after a 2-week interval, a newly isointense mass was present within the anterior part of the previously identified lesion on T1-weighted image and the hyperintense area in the lesion was a little extended on T2-weighted imaging. Her symptoms were resolved immediately after decompression surgery. Following a review of previous cases, we suggest that consecutive MRI scanning may support the diagnostic process for LFH.

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Accepted/In Press date: 18 November 2018
e-pub ahead of print date: 27 November 2018

Identifiers

Local EPrints ID: 427403
URI: https://eprints.soton.ac.uk/id/eprint/427403
PURE UUID: 9cf6b9be-8992-4941-b736-7739c4cc3146
ORCID for Elizabeth Curtis: ORCID iD orcid.org/0000-0002-5147-0550
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 15 Jan 2019 17:30
Last modified: 23 Jul 2019 00:26

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Contributors

Author: Yuyu Ishimoto
Author: Mamoru Kawakami
Author: Cyrus Cooper ORCID iD
Author: Nami Moriguchi
Author: Yukihiro Nakagawa

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