case_images: PMC10954800_01
case_images: Preoperative and postoperative imaging and intraoperative pictures. Preoperative lumbar MRI images (A,B) and CT images (C,D), which show L4/5 intervertebral disc protrusion with spinal stenosis. (E-G) Are microscopic images during UBE surgery. (E,F) Show no significant compression around the nerve root after removing the nucleus pulposus; (G) shows a 0.3 cm tear on the dorsal side of the dura. (H) Represents the extracted protruding nucleus pulposus tissue. (I,J) Are postoperative MRI images with the protruded disc completely removed and sufficient nerve decompression. (K,L) Are second postoperative MRI review, indicating the accumulation of cerebrospinal fluid at the surgical site.
case_images: fsurg-11-1301905-g001.jpg
case_images: PMC10954800_01_fsurg-11-1301905-g001.jpg
case_images: F1
case_images: MRI and CT (Figures 1A-D), revealed L4/5 intervertebral disc herniation with associated spinal stenosis. More than 10 days before admission, he experienced worsening low back pain, accompanied by radiation pain in the right lower limb. The intraoperative image is depicted in Figures 1E-H. CSF leakage, prompting appropriate fluid replacement to prevent electrolyte disorders. Concurrently, a postoperative review of the lumbar MRI revealed complete removal of the protruded disc and adequate nerve decompression, as illustrated in Figures 1I,J. During this period, a re-examination of the lumbar MRI (Figures 1K-L) revealed CSF accumulation at the operation site, with no apparent abnormalities found in the brain MRI.
case_images: The patient's temperature record sheet. LD: Lumbar drain (LD) placement is a common neurosurgical procedure in which a fine spinal catheter is temporarily inserted into the lumbar spinal canal and connected to a closed system for controlled diversion of CSF. The figure clearly records the changes in the patient's body temperature at various times, including the temperature at admission, the temperature after UBE surgery, the temperature after removing the drainage tube, the temperature during blood culture, the temperature of the LD, and.
case_images: fsurg-11-1301905-g002.jpg
case_images: PMC10954800_01_fsurg-11-1301905-g002.jpg
case_images: F2
case_images: At 15:00 on the afternoon of the following day (January 11, the fifth day after surgery), after the removal of the drainage tube, the patient developed headaches and fever (Figure 2). Following the drainage, the patient's symptoms were alleviated, and the temperature decreased (Figure 2).