Noncalcified Hypertrophic Ligamentum Flavum Causing Severe Cervical Stenosis and Myelopathy: Case Report and Review of the Literature.

Abstract:

BACKGROUND:Calcified hypertrophic ligamentum flavum is a known entity that causes myeloradiculopathy of the cervical, thoracic, and lumbar spine and is seen more commonly in Asian populations. Noncalcified hypertrophic changes are less common and may mimic other epidural space-occupying lesions. CASE DESCRIPTION:A 59-year-old woman presented with progressive myelopathy, and imaging studies were consistent with an epidural space-occupying lesion from C4-T3. The patient underwent posterior cervical decompression and fusion with instrumentation. Pathology specimens revealed noncalcified hypertrophic ligamentum flavum. CONCLUSIONS:To our knowledge, noncalcified hypertrophic ligamentum flavum causing progressive cervical myelopathy has never been reported in the English literature. This entity should be considered in cases with epidural masses causing progressive myelopathy.

journal_name

World Neurosurg

journal_title

World neurosurgery

authors

Coughlin DJ,Rymarczuk GN,Dirks MS

doi

10.1016/j.wneu.2016.08.035

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

618.e21-618.e26

eissn

1878-8750

issn

1878-8769

pii

S1878-8750(16)30701-X

journal_volume

95

pub_type

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