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頁籤選單縮合
題名 | Post-Traumatic Ligamentum Flavum Hematoma: A Case Report=外傷性黃韌帶血腫--病例報告 |
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作者姓名(中文) | 池永昌; 李國泰; 錢本文; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 20:1 2004.01[民93.01] |
頁次 | 頁41-44 |
分類號 | 416.61 |
關鍵詞 | 黃韌帶; 血腫; 磁振造影; Hematoma; Ligamentum flavum; Magnetic resonance imaging; |
語文 | 英文(English) |
中文摘要 | 本文報告一位 64 歲女性患者,只有輕微背傷病史,在就診前突然發生下背痛,並且迅速引致下肢行動不良。經磁振造影發現在腰椎第四、五節間有一硬膜外腫塊,此腫塊與黃韌帶相連接,在 T1WI 呈現低強度訊號,在 T2WI 呈現中心點高和週邊低的訊號強度。予注射顯影劑後,腫塊的邊緣有良好的增強顯影。手術前診斷為黃韌帶血腫造成進行性神經根病,接受外科手術治療摘除後,病人完全恢復正常,我們相信磁振造影是正確術前診斷黃韌帶血腫的必要檢查方法。 |
英文摘要 | We present the case of a 64-year-old female treated surgically for ligamentum flavum hematoma that caused progressive radiculopathy. Initially, she suffered from an acute onset of lower back pain. Only a history of minor back injury was discovered. She rapidly became unable to walk. Magnetic resonance imaging demonstrated an epidural mass lesion at L3 to L4 that was continuous with the left ligamentum flavum. The mass was hypointense on T1-weighted images and centrally hyperintense and marginally hypointense on T2-weighted images. The margin was well enhanced by gadopentetate dimeglumine administration. After removal of the mass, the patient’s symptoms completely resolved. Before surgery, we believe accurate diagnosis of ligamentum flavum hematoma can be based on magnetic resonance imaging. |
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