Extensive calcification of the ligamentum flavum causing cervical myelopathy in a Caucasian woman

被引:8
作者
Roet, Milaine [1 ]
Spoor, Jochem K. H. [1 ]
de Waal, M. [2 ]
Kros, Max J. [3 ]
Harhangi, Sanjay B. [1 ]
Dammers, Ruben [1 ,4 ]
机构
[1] Erasmus MC, Dept Neurosurg, Rotterdam, Netherlands
[2] Albert Schweitzer Ziekenhuis, Dept Neurol, Dordrecht, Netherlands
[3] Erasmus MC, Dept Pathol, Rotterdam, Netherlands
[4] Sophia Childrens Univ Hosp, Erasmus MC, Dept Neurosurg, S Gravendijkwal 230,Off Hs-114,POB 2040, NL-3000 CA Rotterdam, Netherlands
来源
SPRINGERPLUS | 2016年 / 5卷
关键词
Calcification of the ligamentum flavum (CLF); Cervical spine; Caucasian; Myelopathy; OF-THE-LITERATURE; EPIDURAL HEMATOMA; OSSIFICATION; DEPOSITION; STENOSIS; SURGERY; SPINE;
D O I
10.1186/s40064-016-3633-z
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Calcification of the ligamentum flavum (CLF) can cause myelopathy due to spinal cord compression. Only several cases in Caucasian patients have been described. Neurological deterioration can only be stopped by surgical decompression. We report a 63-year-old Caucasian woman presenting with progressive pins-and-needles sensations in both hands, worsened by painful paresthesia in both lower extremities. MRI showed a dorsal compressive mass extending from C2 to Th3 vertebrae with myelopathy at the level of C6. A laminectomy was performed, which improved clinical symptoms. Histological examination showed CLF. Early recognition of CLF and early spinal cord decompression are needed to improve neurological outcome.
引用
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页数:5
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