Journal of neurosurgery. Case lessons · 2026
Slow-growing hematoma in the thoracic ligamentum flavum: illustrative case.
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Fujihara Fumiaki, Uchikado Hisaaki, Irie Yukino, Ohtani Hiroshi, Hayashi Syuji, Inoue Tooru, Abe Hiroshi
Аннотация
BACKGROUND: Thoracic ligamentum flavum hematoma (LFH) is rare. Furthermore, hematoma enlargement due to repeated rebleeding is extremely rare. The authors report on a rare surgical case of thoracic epidural hematoma of the ligamentum flavum.
OBSERVATIONS: A 58-year-old man with hypertension presented to the emergency department with thoracic myelopathy, including recurrent back pain and right lower limb paralysis for 9 months. Imaging revealed an epidural mass lesion at T8-9, and surgery was performed based on a diagnosis of hemorrhage with fibrous components. The patient's neurological findings improved, and he was discharged home.
LESSONS: Slow-growing LFH in the lower thoracic spine is extremely rare compared to the lumbar spine. Herein, the authors report on the mechanisms of LFH. https://thejns.org/doi/10.3171/CASE26334.
OBSERVATIONS: A 58-year-old man with hypertension presented to the emergency department with thoracic myelopathy, including recurrent back pain and right lower limb paralysis for 9 months. Imaging revealed an epidural mass lesion at T8-9, and surgery was performed based on a diagnosis of hemorrhage with fibrous components. The patient's neurological findings improved, and he was discharged home.
LESSONS: Slow-growing LFH in the lower thoracic spine is extremely rare compared to the lumbar spine. Herein, the authors report on the mechanisms of LFH. https://thejns.org/doi/10.3171/CASE26334.