case_images: PMC11184950_01
case_images: Comparison of MRI of the lumbar region at the time of the initial visit (2023-02-19) and after a period of treatment (2023-05-16). (A): The sagittal view showed a herniated nucleus pulposus in the L5-S1 segment, resulting in spinal cord compression. The sagittal protrusion length of the L5/S1 intervertebral disc measured as high as 16.10 mm. (B): The axial view showed a large disc herniation on the right side, resulting in nerve root compression. The diameter of the spinal canal on the cross section was 12.16 mm. (C): The sagittal view demonstrated a notable reduction in the herniation of the nucleus pulposus at the L5-S1 level, with the protrusion length of the L5/S1 intervertebral disc measuring 9.604 mm. (D): The axial view showed that the right large disc herniation had reabsorbed, resulting in the absence of nerve root compression. The cross-sectional measurement of the spinal canal diameter was 14.56 mm.
case_images: fneur-15-1381292-g001.jpg
case_images: PMC11184950_01_fneur-15-1381292-g001.jpg
case_images: fig1
case_images: MRI demonstrated his lumbar disc was extruding downwards to the right posterior on L5-S1, protruded outwards on L3-L4 and bulged outwards on L2-L3 and L4-L5 (Figure 1). The computer PACS image workstation was applied to measure the sagittal protrusion length of the L5/S1 intervertebral disc, which was as high as 16.10 mm (Figure 1A), and the diameter of the spinal canal on the cross section was only 12.16 mm (Figure 1B). A second MRI scan of the lumbar spine was performed on May 16 2023 and a significant reabsorption of the herniation was observed (Figures 1C,D). It was observed that the sagittal protrusion length of the L5/S1 disc decreased from 16.10 mm (Figure 1A) to 9.604 mm (Figure 1C). Correspondingly, the cross-sectional diameter of the spinal canal increased from 12.16 mm (Figure 1B) to 14.56 mm (Figure 1D).
case_images: The evolution of patient's VAS and JOA scores over the course of treatment.
case_images: fneur-15-1381292-g002.jpg
case_images: PMC11184950_01_fneur-15-1381292-g002.jpg
case_images: fig2
case_images: The evolution of patient's VAS and JOA scores over the course of treatment is shown in Figure 2.
case_images: The timeline of the patient's treatment.
case_images: fneur-15-1381292-g003.jpg
case_images: PMC11184950_01_fneur-15-1381292-g003.jpg
case_images: fig3
case_images: The timeline of this case is summarized in Figure 3.