Spinal Cord Injury Caused by Minor Trauma in a Patient With Silent Ossification of the Ligamentum Flavum: Case Report and Review.

Autor:	Rahimizadeh, Abolfazl, Soufiani, Housain, Amirzade, Mahan, Williamson, Walter, Rahimizadeh, Shaghayegh, Asgari, Naser
Předmět:	OSSIFICATION SPINAL cord injuries MAGNETIC resonance imaging MIDDLE-aged women ASYMPTOMATIC patients MEDICAL literature
Zdroj:	Iranian Journal of Neurosurgery; 2023, Vol. 9, p1-0, 6p
Abstrakt:	Background and Importance: Acute spinal cord injury without an apparent spinal fracture/ dislocation in an asymptomatic subject with silent thoracic ossification of the ligamentum flavum (TOLF) is extremely rare with only seven fully documented examples of this specific scenario in the literature. Case Presentation: A previously healthy middle-aged woman with a documented magnetic resonance imaging (MRI) history of silent TOLF presented severe lower extremity weakness immediately after a minor fall. Repeat MRI revealed the appearance of myelopathy at the silent T10-T11 ossification of the ligamentum flavum (OLF) site. Laminectomy and excision of the OLF result in complete recovery within 6 months. Conclusion: We believe that our asymptomatic patient should have undergone prophylactic surgical intervention before this catastrophic event. In a survey of medical literature, we found that the presented case is the first example of a documented MRI of TOLF in its silence period. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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