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Ossification of the ligamentum flavum as cause of thoracic cord compression: Case report of a Latin American man and review of the literature.
Toledo, Javier A; Isseldyk, Facundo Van; Re, Martín; Garrote, Miguel.
Afiliação
  • Toledo JA; Department of Neurosurgery, Hospital Clemente Álvarez, Rosario, Santa Fe, Argentina.
Surg Neurol Int ; 4: 119, 2013.
Article em En | MEDLINE | ID: mdl-24083054
BACKGROUND: Ossification of the ligamentum flavum is a widely described pathology in eastern Asia. Cases have been reported in northern Africa, the Middle-East, India, the Caribbean, Europe, and North America, but no cases from Latin America have been published in the literature. It affects mostly elderly men, with a possible association with obesity and type 2 diabetes. CASE DESCRIPTION: A 38-year-old previously healthy Latin American male presented to the emergency room department with severe functional disability and a 3/5 paraparesis. Blood reports showed no abnormalities. Computed tomography and magnetic resonance imaging showed a ligamentum flavum ossification with myelopathy. The patient underwent a T3-T9 laminotomy. At hospital discharge, the patient remained with a 3/5 paraparesis, mild hypoesthesia in both lower limbs and bladder incontinence. Rectal sphincter was continent. At 6 months, he was able to walk with a cane, with no sphincter or sensory alterations. CONCLUSIONS: Ligamentum flavum ossification is rare. To our understanding, this is the first case reported in the Latin American population.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Surg Neurol Int Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Surg Neurol Int Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Argentina País de publicação: Estados Unidos