A very elderly patient with calcification of the ligamentum flavum in the lumbar spine showing progressive urinary retention after mild trauma

DOI
  • Matsumoto Hiroaki
    Department of Neurosurgery, Cerebrovascular Research Institute, Eishokai Yoshida Hospital
  • Matsumoto Atsushi
    Department of Neurosurgery, Cerebrovascular Research Institute, Eishokai Yoshida Hospital
  • Miyata Shiro
    Department of Neurosurgery, Cerebrovascular Research Institute, Eishokai Yoshida Hospital
  • Tomogane Yusuke
    Department of Neurosurgery, Cerebrovascular Research Institute, Eishokai Yoshida Hospital
  • Minami Hiroaki
    Department of Neurosurgery, Cerebrovascular Research Institute, Eishokai Yoshida Hospital
  • Masuda Atsushi
    Department of Neurosurgery, Cerebrovascular Research Institute, Eishokai Yoshida Hospital
  • Yamaura Ikuya
    Department of Neurosurgery, Cerebrovascular Research Institute, Eishokai Yoshida Hospital
  • Yoshida Yasuhisa
    Department of Neurosurgery, Cerebrovascular Research Institute, Eishokai Yoshida Hospital
  • Hirata Yutaka
    Department of Neurology, Cerebrovascular Research Institute, Eishokai Yoshida Hospital

Bibliographic Information

Other Title
  • 軽微な外傷後に急速に尿閉を来した超高齢者の腰椎黄色靱帯石灰化症の１例

Abstract

<p>  Calcification of the ligamentum flavum (CLF) in the lumbar spine is a relative rare lesion that causes radiculopathy and/or cauda equina syndrome. We report the case of a very elderly patient with CLF in the lumbar spine showing progressive urinary retention after mild trauma. A 90‒year‒old Japanese man who had been hospitalized because of a cerebral infarction presented with progressive urinary retention after a hitting his hip in a fall. Lumbar MRI and CT revealed canal stenosis due to CLF at the L4/5 level. There was no clear cause of the patient’s urinary retention other than the CLF at the L4/5. Although medications were administered, there was no improvement in his urinary retention. We performed posterior decompression 10 days after the onset, and the urinary retention improved immediately after the procedure. Surgical treatment for lumbar canal stenosis in very elderly patients should be selected when the patient’s general condition is stable.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390860476537003520
  • DOI
    10.24723/jsne.28.1_40
  • ISSN
    24340561
    13426214
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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