case_images: PMC10963396_01
case_images: Spinal MRI images of patient #1. (A-C) Preoperative Sagittal T1, STIR and axial T2 weighted images show an overgrowth of epidural fat compressing the dural sac at L3-L5 (arrows), Manjila grading as Type II (dorsal) moderate severity with ventrally pushed thecal sac. Of note, L5-S1 level showed Manjila Type I (ventral) SEL with significant severity with dorsally pushed thecal sac. (D) Postoperative T1 weighted images showed reduction of SEL at the operated levels with focally diminished dorsal compression of thecal sac from the fatty tissue.
case_images: fsurg-11-1309202-g002.jpg
case_images: PMC10963396_01_fsurg-11-1309202-g002.jpg
case_images: F2
case_images: T1 and T2 extradural signal from L3-L4 and L4-L5. T2 Fat suppression image shows suppression of adipose tissue, Manjila grading was done and it showed type II (dorsal) moderate severity (Figures 2A-C). Patient underwent a lumbar UBE decompression from L3 to L4 with excision of the intraspinal epidural fat (Figure 2D).
case_images: PMC10963396_02
case_images: Spinal MRI images of patient #2. (A-C) Preoperative Sagittal T1, STIR and axial T2 weighted images show an overgrowth of epidural fat compressing the dural sac at L2-L5 (arrows), Manjila grading as type II (dorsal) moderate severity. Notably, the L5-S1 levels demonstrated Manjila Type III (concentric) type mild SEL. (D) Postoperative T2 weighted images show Reduction of L3-L5 spinal stenosis.
case_images: fsurg-11-1309202-g003.jpg
case_images: PMC10963396_02_fsurg-11-1309202-g003.jpg
case_images: F3
case_images: T1 and T2 extradural signal fromL2-L5. T2 Fat suppression image showed suppression of adipose tissue, Manjila grading as type II (dorsal) moderate severity (Figures 3A-C). Patient underwent a lumbar UBE decompression from L3 to L5 with excision of the intraspinal epidural fat (Figure 3D).
case_images: PMC10963396_03
case_images: Spinal MRI images of patient #3. (A-C) Preoperative Sagittal T1, STIR and axial T2 weighted images show an overgrowth of epidural fat compressing the dural sac at L4-L5 (arrows), Manjila grading as type II (dorsal) moderate severity and Manjila Type III (concentric) moderate SEL seen caudally. (D) Postoperative T2 weighted images show reduction of L4-L5 spinal stenosis.
case_images: fsurg-11-1309202-g004.jpg
case_images: PMC10963396_03_fsurg-11-1309202-g004.jpg
case_images: F4
case_images: T1 and T2 extradural signal from L4-L5. T2 Fat suppression image showed suppression of adipose tissue, Manjila grading as type II (dorsal) moderate severity (Figures 4A-C). Patient underwent a lumbar UBE decompression from L4 to L5 with excision of the intraspinal epidural fat (Figure 4D).