Ossification of the Thoracic Ligamentum Flavum presenting with Intercostal Neuralgia Case Report

Iihara Koji, Hanakita Junya, Suwa Hideyuki, Nishihara Kiyoshi, Sakaida Hiroshi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

A 46-year-old female was admitted complaining of progressive, severe girdle pain consistent with the left Th3 dermatome. Neurological examination on admission revealed dysesthesia and radiating pain in the left Th3 territory. Plain X-rays and tomograms of the thoracic spine revealed a beak-like bony excrescence arising from the lamina and projecting moderately to the Th3/4 intervertebral foramen, suggesting ossification of the thoracic ligamentum flavum (OYL). Myelography showed the dural sac compressed from laterally just below the left Th3 pedicle, which suggested that the Th3 nerve root was compressed by the OYL. After Th3 nerve root decompression through hemilaminectomy and foraminotomy, the girdle pain disappeared. OYL is known to cause thoracic radiculomyelopathy, but presentation with intercostal neuralgia only is very rare. The authors review the literature and stress the importance of myelography for diagnosis.

Original languageEnglish
Pages (from-to)999-1002
Number of pages4
JournalNeurologia medico-chirurgica
Volume31
Issue number13
DOIs
Publication statusPublished - Jan 1 1991
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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