case_images: PMC11832281_01
case_images: The initial magnetic resonance images taken before intradiscal electrothermal therapy. The initial T1-weighted (A, C) and T2-weighted (B, D) magnetic resonance images taken in April, 2024 show a herniation of cervical disc towards the left on C5/6 level (white arrows).
case_images: kjn-21-53-g001.jpg
case_images: PMC11832281_01_kjn-21-53-g001.jpg
case_images: F1
case_images: In April 2024, she experienced left posterior neck pain without any cause of trauma and was diagnosed with herniation of cervical disc towards the left on C5/6 level (FIGURE 1).
case_images: The fluoroscopy image shows an intradiscal electrothermal therapy procedure performed at a local clinic. The treatment aimed to target the herniated disc at the left side of C5/6; however, the catheter tip was mispositioned within the spinal canal (white arrow).
case_images: kjn-21-53-g002.jpg
case_images: PMC11832281_01_kjn-21-53-g002.jpg
case_images: F2
case_images: The patient received IDET at a local clinic (FIGURE 2) and after the procedure, she suddenly developed left-sided hemiparesis.
case_images: The magnetic resonance images taken after intradiscal electrothermal therapy. The T1-weighted (A, C) and T2-weighted (B, D) taken after intradiscal electrothermal therapy reveal a newly-developed high signal intensity along the cervical spinal cord and herniated disc (white arrows).
case_images: kjn-21-53-g003.jpg
case_images: PMC11832281_01_kjn-21-53-g003.jpg
case_images: F3
case_images: The magnetic resonance imaging (MRI) taken at this time (FIGURE 3) revealed a newly-developed high signal intensity along the cervical spinal cord.
case_images: Intraoperative findings during anterior cervical discectomy and fusion. (A) Intra-operative image during anterior cervical discectomy and fusion shows a dural defect with a burn mark on the left ventral side of the cervical cord (black arrow). (B) Herniated disc fragments with round-shaped defect and burn mark (white arrows) shows the evidence of intradiscal electrothermal therapy.
case_images: kjn-21-53-g004.jpg
case_images: PMC11832281_01_kjn-21-53-g004.jpg
case_images: F4
case_images: ACDF on C5/6 was performed. After removing the disc fragment, there was a dural defect with a burn mark on the left ventral side of the cervical cord (FIGURE 4).