case_images: PMC11733772_01
case_images: Emergency MRI of the patient shows (A) and (B) axial T2W projections that demonstrate a severe compression of the spinal cord given the central location of the extruded disc, (C) a sagittal T2W with fat suppression allows to see the extruded disc nucleus of the T10-T11 disc causing compression of the spinal cord; edematous changes are also visible, (D) shows a T1W sagittal midline image of the extruded disc which also shows a flattened spinal cord with associated edema; note the absence of any calcification or changes associated with chronic progression and (E) is a coronal T2W image of the disc herniation showing its central location with a slight predominance over the right canal.
case_images: rjaf001f1.jpg
case_images: PMC11733772_01_rjaf001f1.jpg
case_images: f1
case_images: No evidence of calcification or chronic changes was noted, suggesting an acute pathology (Fig. 1).
case_images: Intraoperative image of the herniated material removed from the spinal canal.
case_images: rjaf001f2.jpg
case_images: PMC11733772_01_rjaf001f2.jpg
case_images: f2
case_images: Intraoperative findings included a large, soft disc fragment that was identified and removed, resulting in immediate decompression of the spinal cord (Fig. 2).