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2/10/2025 7:51:20 AM | Browse: 33 | Download: 128
Publication Name World Journal of Clinical Cases
Manuscript ID 103373
Country China
Received
2024-11-20 04:34
Peer-Review Started
2024-11-20 04:34
To Make the First Decision
Return for Revision
2024-12-18 10:22
Revised
2024-12-30 01:42
Second Decision
2025-01-17 02:37
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-01-17 08:21
Articles in Press
2025-01-17 08:21
Publication Fee Transferred
2025-01-03 12:29
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-01-21 10:22
Publish the Manuscript Online
2025-02-10 07:51
ISSN 2307-8960 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Surgery
Manuscript Type Case Report
Article Title Diagnosis and surgical challenges of extremely severe head and lumbar disc herniation in young patients: A case report
Manuscript Source Unsolicited Manuscript
All Author List Jun-Ge Zhou
ORCID
Author(s) ORCID Number
Jun-Ge Zhou http://orcid.org/0000-0003-3720-574X
Funding Agency and Grant Number
Corresponding Author Jun-Ge Zhou, Department of Neurosurgery, General Hospital of The Yangtze River Shipping, Wuhan Brain Hospital, No 5 Huiji Road, Jiangan District, Wuhan 430010, Hubei Province, China. 43494830@qq.com
Key Words Lumbar disc extrusion; Cephalad; Open surgery; Clinical Implications; Diagnostic assessment; Case report
Core Tip This case report introduces a unique case of high cephalad migration of lumbar disc herniation in a 36-year-old male patient. The patient exhibited persistent low back pain and radiating leg pain, with symptoms worsening over time. Lumbar magnetic resonance imaging scans revealed an abnormal signal within the vertebral canal at the L3 level. Physical examination demonstrated tenderness in the lumbar region, restricted lumbar spine mobility, and numbness and sensory decrement in the right lower limb. Differential diagnoses included discal cysts and spinal epidural hematomas. Due to the rarity and challenging nature of the lesion's location, open surgery was selected as the treatment option. Intraoperative ultrasonography facilitated precise localization of the lesion, which was successfully resected. The postoperative outcome was favorable, with complete resolution of symptoms and a Visual Analog Scale score of 0. This case underscores the importance of considering atypical pathogenic mechanisms in young patients with lumbar disc herniation and highlights the role of intraoperative ultrasonography in guiding surgical management.
Publish Date 2025-02-10 07:51
Citation <p>Zhou JG. Diagnosis and surgical challenges of extremely severe head and lumbar disc herniation in young patients: A case report. <i>World J Clin Cases</i> 2025; 13(16): 103373</p>
URL https://www.wjgnet.com/2307-8960/full/v13/i16/103373.htm
DOI https://dx.doi.org/10.12998/wjcc.v13.i16.103373
Full Article (PDF) WJCC-13-103373-with-cover.pdf
CARE Checklist–2016 103373-CARE-Checklist-2016.pdf
Manuscript File 103373_Auto_Edited_085521.docx
Answering Reviewers 103373-answering-reviewers.pdf
Audio Core Tip 103373-audio.m4a
Conflict-of-Interest Disclosure Form 103373-conflict-of-interest-statement.pdf
Copyright License Agreement 103373-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 103373-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 103373-non-native-speakers.pdf
Peer-review Report 103373-peer-reviews.pdf
Scientific Misconduct Check 103373-scientific-misconduct-check.png
Scientific Editor Work List 103373-scientific-editor-work-list.pdf
CrossCheck Report 103373-crosscheck-report.pdf