We present a case of a healthy 31 year-old male plumber who Lunchbag presented to the emergency room with acute onset back pain that acutely developed after simply bending over.He developed radiculopathy and cauda equina syndrome over a period of hours.An MRI demonstrated an acute lumbar epidural hematoma and a disruption of the ligamentum flavum, suggesting that he may have torn the ligament with lumbar flexion.
The patient was Balloons Multi-balloon taken to the operating room for an emergent lumbar decompression and recovered full neurological function post-operatively.To our knowledge, this is the first report of a spontaneous symptomatic lumbar epidural hematoma resulting from a non-traumatic ligamentum flavum rupture.Keywords: Ligamentum flavum rupture, Epidural hematoma, Cauda equina syndrome, Back pain.