TY - JOUR PY - 2021// TI - Ligamentum flavum hematoma following a traffic accident: a case report JO - World journal of clinical cases A1 - Yu, Dongwoo A1 - Lee, Wonho A1 - Chang, Min Cheol SP - 6125 EP - 6129 VL - 9 IS - 21 N2 - BACKGROUND: Ligamentum flavum hematoma (LFH) can cause compression of the spinal cord or nerve root, which results in neurological symptoms. We report a case of lumbar radicular pain due to LFH following a traffic accident. CASE SUMMARY: A 59-year-old man complained of left buttock and lateral thigh pain that was dull in nature after a traffic accident 18 d prior to presentation. Magnetic resonance imaging (MRI), taken 17 d after the traffic accident, revealed a mass lesion at the L4-5 Level. These MRI findings suggested subacute LFH. The patient's pain was not alleviated with conservative treatment, including oral medication and epidural steroid injection. After a partial-hemilaminectomy and removal of LFH, the patient's pain completely disappeared.

CONCLUSION: Because early operation for decompression is important for a good outcome, clinicians should be able to determine LFH from MRI results and be aware of the possibility of LFH, especially in patients with a history of trauma.

Language: en

LA - en SN - 2307-8960 UR - http://dx.doi.org/10.12998/wjcc.v9.i21.6125 ID - ref1 ER -