• World Neurosurg · Nov 2016

    Review Case Reports

    Non-calcified, hypertrophic ligamentum flavum causing severe cervical stenosis and myelopathy - A case report and review of literature.

    • Daniel J Coughlin, George N Rymarczuk, and Michael S Dirks.
    • Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA. Electronic address: Daniel.j.coughlin.mil@mail.mil.
    • World Neurosurg. 2016 Nov 1; 95: 618.e21-618.e26.

    BackgroundCalcified 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 DescriptionA 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.ConclusionsTo 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.Published by Elsevier Inc.

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