The role of full-endoscopic lumbar discectomy in patients with neurodegenerative disorders: Technical note and short literature review

The role of full-endoscopic lumbar discectomy in patients with neurodegenerative disorders: Technical note and short literature review

Motor neuron disease includes a spectrum of neurodegenerative diseases with progressive courses and unfavorable prognoses. Here, we described a patient with a lumbar disc herniation (LDH) and isolated bulbar palsy (IBP), who successfully underwent a transforaminal full-endoscopic discectomy (TFED) w...

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Veröffentlicht in:Surgical neurology international 2020-02, Vol.11, p.23, Article 23
Hauptverfasser: Kapetanakis, Stylianos, Gkantsinikoudis, Nikolaos, Thomaidis, Tryfon, Theodosiadis, Panagiotis
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container_title Surgical neurology international
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creator Kapetanakis, Stylianos
Gkantsinikoudis, Nikolaos
Thomaidis, Tryfon
Theodosiadis, Panagiotis
description Motor neuron disease includes a spectrum of neurodegenerative diseases with progressive courses and unfavorable prognoses. Here, we described a patient with a lumbar disc herniation (LDH) and isolated bulbar palsy (IBP), who successfully underwent a transforaminal full-endoscopic discectomy (TFED) without incurring the added risks of general anesthesia. A 58-year-old male with IBP had an LDH at the L4-L5 level. Avoiding general anesthesia, a TFED was successfully performed under local anesthesia with mild sedation. There were no perioperative complications, and the patient was discharged on the 1 postoperative day. The patient experienced complete relief of radicular symptomatology 1 year postoperatively. Here, we present a rare instance of a patient with IBP who successfully underwent a TFED for an LDH performed under local anesthesia utilizing mild sedation, avoiding the risks of general anesthesia.
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title The role of full-endoscopic lumbar discectomy in patients with neurodegenerative disorders: Technical note and short literature review
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