NMC case report journal最新文献_第9页

Surgical Treatment after Radiotherapy for Solitary Plasmacytoma of the Cervical Spine: A Case Report. 颈椎孤立性浆细胞瘤放疗后手术治疗1例报告。

NMC case report journal Pub Date : 2026-01-26 eCollection Date: 2026-01-01 DOI: 10.2176/jns-nmc.2025-0183

Takayasu Ando, Hisaaki Uchikado, Yuta Hamamoto, Takehiro Makizono, Jin Kikuchi, Gohsuke Hattori, Motohiro Morioka

{"title":"Surgical Treatment after Radiotherapy for Solitary Plasmacytoma of the Cervical Spine: A Case Report.","authors":"Takayasu Ando, Hisaaki Uchikado, Yuta Hamamoto, Takehiro Makizono, Jin Kikuchi, Gohsuke Hattori, Motohiro Morioka","doi":"10.2176/jns-nmc.2025-0183","DOIUrl":"10.2176/jns-nmc.2025-0183","url":null,"abstract":"Solitary plasmacytoma is a hematologic malignancy in which about 50% of cases progress to multiple myeloma within 10 years. Local radiation therapy is effective for solitary plasmacytoma treatment, but there are cases of spinal cord paralysis due to osteolytic pathological fractures in the spine. Here, we report a 63-year-old male with spinal cord injury caused by pathologic fracture progression after radiotherapy. A 63-year-old male presented with neck pain and left hemiplegia. Imaging studies revealed a pathological fracture of the C5 vertebral body, and biopsy confirmed the diagnosis of solitary plasmacytoma. Radiation therapy temporarily improved symptoms, but progressive quadriplegia developed 2 months later. Cervical spinal cord compression due to an additional vertebral bone fracture was confirmed. Aggressive lesionectomy and fixation using simultaneous anterior and posterior combined approaches were performed. Postoperatively, paralysis completely recovered. No local recurrence or transition to multiple myeloma was observed even after 7 years of follow-up at age 70. Surgical treatment may be effective for spinal cord injury associated with pathologic fracture progression after radiotherapy for solitary plasmacytoma.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"13 ","pages":"7-11"},"PeriodicalIF":0.0,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12906942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Overlapping Flow Diverter with Coiling for Fetal-type Posterior Communicating Artery Aneurysms with Triple Antithrombotic Therapy: A Case Series. 叠置分流器与卷绕治疗胎型后交通动脉瘤联合三联抗栓治疗：一个病例系列。

NMC case report journal Pub Date : 2026-01-26 eCollection Date: 2026-01-01 DOI: 10.2176/jns-nmc.2025-0303

Makoto Sakamoto, Tetsuji Uno, Hiroki Yoshioka, Irfan Kesumayadi, Atsushi Kambe, Masamichi Kurosaki

{"title":"Overlapping Flow Diverter with Coiling for Fetal-type Posterior Communicating Artery Aneurysms with Triple Antithrombotic Therapy: A Case Series.","authors":"Makoto Sakamoto, Tetsuji Uno, Hiroki Yoshioka, Irfan Kesumayadi, Atsushi Kambe, Masamichi Kurosaki","doi":"10.2176/jns-nmc.2025-0303","DOIUrl":"10.2176/jns-nmc.2025-0303","url":null,"abstract":"Flow diverters have revolutionized the treatment of large and giant cerebral aneurysms. However, aneurysms with branch vessels originating from the aneurysm sac remain challenging for flow diverter monotherapy. We present five cases demonstrating favorable outcomes following combined treatment with overlapping flow diverter with coiling. The study cohort included five female patients with a mean age of 72.8 years. The mean aneurysm diameter was 8.1 mm. Triple antithrombotic therapy (dual antiplatelet therapy plus short-term anticoagulation) was administered to prevent ischemic complications due to posterior communicating artery occlusion in the perioperative period. Complete or near-complete occlusion (O'Kelly-Marotta grade C or D) was achieved in all cases. Follow-up angiography (mean follow-up time: 17.2 months) revealed preserved patency of the posterior communicating artery in four of five cases. In one case, the posterior communicating artery arising from the aneurysm was occluded at its origin but was supplied retrograde from the posterior circulation. Follow-up digital subtraction angiography of most cases showed caliber changes, with the posterior communicating artery diameter reducing and the P1 segment of the posterior cerebral artery increasing. No ischemic or hemorrhagic complications occurred perioperatively or during follow-up. Overlapping flow diverter with coiling combined with low-dose and short-term triple antithrombotic therapy might be a safe and effective treatment for fetal-type posterior communicating artery aneurysms, offering a viable alternative for complex aneurysms. Further studies with long-term follow-up data from a larger patient cohort are required to validate the efficacy and safety demonstrated in this case series.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"13 ","pages":"13-20"},"PeriodicalIF":0.0,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12906943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146208133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Combined Endovascular and Microsurgical Treatment for a Giant Thrombosed Posterior Cerebral Artery Aneurysm: A Case Report. 血管内与显微外科联合治疗巨大血栓性脑后动脉瘤1例。

NMC case report journal Pub Date : 2025-12-25 eCollection Date: 2025-01-01 DOI: 10.2176/jns-nmc.2025-0244

Airi Miyazaki, Yoshihiko Motohara, Yuji Dekita, Yoshihiro Takesue, Tatemi Todaka

{"title":"Combined Endovascular and Microsurgical Treatment for a Giant Thrombosed Posterior Cerebral Artery Aneurysm: A Case Report.","authors":"Airi Miyazaki, Yoshihiko Motohara, Yuji Dekita, Yoshihiro Takesue, Tatemi Todaka","doi":"10.2176/jns-nmc.2025-0244","DOIUrl":"10.2176/jns-nmc.2025-0244","url":null,"abstract":"Giant thrombosed aneurysms of the posterior cerebral artery are rare and pose significant challenges in both diagnosis and management. We present a case of a 61-year-old woman who had been under observation for 5 years because of a partially thrombosed posterior cerebral artery aneurysm. The aneurysm gradually enlarged to 50 mm, resulting in left hemiparesis and homonymous hemianopsia. Magnetic resonance imaging revealed cerebral edema and contrast enhancement of the aneurysmal wall and intraluminal space. Digital subtraction angiography demonstrated a slowly perfused aneurysm located at the P1-P2 segment, with a medial posterior choroidal artery branching from the short P1 segment. Given the limited microsurgical exposure and the presence of critical perforators, a hybrid approach was selected. Endovascular parent artery occlusion was first performed using coils and n-butyl cyanoacrylate, targeting both the intraluminal space and the vasa vasorum. Seven days later, microsurgical proximal clipping and partial thrombectomy were carried out via a subtemporal approach. Although transient neurologic deterioration occurred postoperatively, significant improvement was observed with rehabilitation. Follow-up imaging showed marked reduction in aneurysmal size and localized infarction in the posterior cerebral artery territory. This case illustrates the effectiveness of a combined endovascular and microsurgical strategy for treating giant thrombosed posterior cerebral artery aneurysms. Individualized treatment planning based on anatomic complexity, collateral flow, and perforator preservation is essential for achieving successful outcomes in such challenging cases.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"12 ","pages":"617-622"},"PeriodicalIF":0.0,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12826770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of Endoscopic Underwater Surgery for Brain Tumors from Ventricle to Cistern: A Report of Pediatric and Elderly Cases. 内镜水下手术在脑室至脑池肿瘤中的应用：儿童及老年病例报告。

NMC case report journal Pub Date : 2025-12-25 eCollection Date: 2025-01-01 DOI: 10.2176/jns-nmc.2025-0260

Kenichiro Iwami, Ayako Toda, Masazumi Fujii, Tadashi Watanabe, Ryuta Saito, Kiyoshi Saito

{"title":"Application of Endoscopic Underwater Surgery for Brain Tumors from Ventricle to Cistern: A Report of Pediatric and Elderly Cases.","authors":"Kenichiro Iwami, Ayako Toda, Masazumi Fujii, Tadashi Watanabe, Ryuta Saito, Kiyoshi Saito","doi":"10.2176/jns-nmc.2025-0260","DOIUrl":"10.2176/jns-nmc.2025-0260","url":null,"abstract":"Postoperative brain collapse and subdural fluid collection are potential complications after craniotomy in pediatric and geriatric neurosurgery. We have been using underwater surgery for intraventricular tumors in pediatric patients since 2011 and have recently expanded its use for extra-axial brain tumors in older adult patients. Herein, we introduce our underwater surgical technique and present 3 cases: the first application of underwater surgery for a pediatric intraventricular tumor, and 2 recent cases of cisternal tumors in older adults treated with this technique. We have only used underwater surgery for non-highly-vascularized extra-axial tumors located in the ventricle or cistern, which are considered amenable to hemostasis in the underwater surgical setting. During underwater surgery, the patient is positioned such that the craniotomy site is at the highest position. The craniotomy is limited to 3 cm, and the surgical field is irrigated with artificial cerebrospinal fluid during intradural surgery. In the cases of patients with extra-axial tumors reported herein, underwater surgery was successfully performed without postoperative complications such as subdural fluid collection. Consequently, this surgical method shows promise for preventing postoperative cerebral subsidence and subdural fluid collection in both pediatric and geriatric patients, although its application is contraindicated for large and hemorrhagic tumors.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"12 ","pages":"603-609"},"PeriodicalIF":0.0,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12826837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Surgical Revascularization Still Matters: Successful Superficial Temporal Artery-Superior Cerebellar Artery Bypass for Acute Vertebrobasilar Occlusion Unamenable to Endovascular Therapy. 手术血运重建仍然重要：成功的颞浅动脉-小脑上动脉旁路手术治疗急性椎基底动脉闭塞无法进行血管内治疗。

NMC case report journal Pub Date : 2025-12-25 eCollection Date: 2025-01-01 DOI: 10.2176/jns-nmc.2025-0273

Yoshinobu Iwaki, Sho Tsunoda, Tomohiro Inoue, Ryotaro Mizuno, Hiroshi Matsufuji, Masafumi Segawa, Atsuya Akabane

{"title":"Surgical Revascularization Still Matters: Successful Superficial Temporal Artery-Superior Cerebellar Artery Bypass for Acute Vertebrobasilar Occlusion Unamenable to Endovascular Therapy.","authors":"Yoshinobu Iwaki, Sho Tsunoda, Tomohiro Inoue, Ryotaro Mizuno, Hiroshi Matsufuji, Masafumi Segawa, Atsuya Akabane","doi":"10.2176/jns-nmc.2025-0273","DOIUrl":"10.2176/jns-nmc.2025-0273","url":null,"abstract":"The efficacy of extracranial-intracranial bypass in treating acute cerebral infarction due to vertebrobasilar steno-occlusion remains controversial. Although endovascular therapy is often the first-line approach, certain anatomical and clinical situations may warrant surgical revascularization. We report a case involving a 74-year-old woman with progressive neurological deficits despite antiplatelet therapy, secondary to infarction in the left superior cerebellar artery territory caused by vertebrobasilar steno-occlusion. Imaging revealed poor collateral circulation and severe ischemia of the brainstem and cerebellum. Emergency right superficial temporal artery-superior cerebellar artery bypass was performed through a subtemporal transtentorial approach. The procedure was completed without complications, and postoperative imaging confirmed good patency. Although transient brainstem hyperperfusion was observed, the patient recovered gradually, achieving a modified Rankin Scale score of 1 at 4 months postoperatively. This case highlights the potential role of superficial temporal artery-superior cerebellar artery bypass as a rescue therapy in selected cases of acute vertebrobasilar steno-occlusion with poor collateral flow and progressive symptoms. With appropriate patient selection and surgical expertise, extracranial-intracranial bypass may offer a viable alternative to endovascular treatment in anatomically challenging cases.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"12 ","pages":"611-616"},"PeriodicalIF":0.0,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12826838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Facial Nerve Conduction Block during Vestibular Schwannoma Surgery: A Rare and Unclarified Transient Neural Dysfunction. 前庭神经鞘瘤手术中面神经传导阻滞：一种罕见且未明确的暂时性神经功能障碍。

NMC case report journal Pub Date : 2025-12-25 eCollection Date: 2025-01-01 DOI: 10.2176/jns-nmc.2025-0279

Yudai Morisaki, Ken Matsushima, Michihiro Kohno

{"title":"Facial Nerve Conduction Block during Vestibular Schwannoma Surgery: A Rare and Unclarified Transient Neural Dysfunction.","authors":"Yudai Morisaki, Ken Matsushima, Michihiro Kohno","doi":"10.2176/jns-nmc.2025-0279","DOIUrl":"10.2176/jns-nmc.2025-0279","url":null,"abstract":"Preservation of facial nerve function while achieving sufficient tumor removal is a key objective in vestibular schwannoma surgery, and continuous facial nerve monitoring provides real-time, quantitative, and functional assessment of facial nerve during resection. In our experiences of more than 1,900 vestibular schwannoma surgeries, we have occasionally observed an abrupt and marked decrease in monitoring amplitude without any high-risk manipulation such as direct nerve dissection. This rare phenomenon, illustrated by 2 recent cases in this study, was transient or unrelated to postoperative facial nerve dysfunction, suggesting a mechanism distinct from structural nerve injury. One plausible explanation is a temporary conduction block caused by factors such as local ischemia, torsional stress, or changes in the microenvironment of the nerve. Recognition of this event is clinically important because a decrease in amplitude may prompt unnecessary discontinuation of resection or consideration of nerve reconstruction if misinterpreted as irreversible facial nerve injury. Differentiating conduction block from true injury requires careful correlation with surgical context, nerve anatomy, and subsequent amplitude recovery. Awareness of this pattern can help maintain appropriate surgical progress while minimizing the risk of facial nerve injury. Continuous facial nerve monitoring, by detecting such sudden changes in real time, not only supports safe tumor removal but also enhances intraoperative decision-making in complex vestibular schwannoma surgery.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"12 ","pages":"597-602"},"PeriodicalIF":0.0,"publicationDate":"2025-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12826836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multidisciplinary Management of Bilateral Pneumocephalus after Burr Hole Surgery: A Case Report. 钻孔手术后双侧脑气的多学科治疗：1例报告。

NMC case report journal Pub Date : 2025-12-25 eCollection Date: 2025-01-01 DOI: 10.2176/jns-nmc.2025-0199

Hsiang-Ling Huang, Hui-Ling Yeh, Sheng-Tzung Tsai

引用次数: 0

A Rare Case of Posterior Fossa Decompression Performed during Pregnancy for Chiari Malformation Type I. 妊娠期后窝减压治疗ⅰ型Chiari畸形一例。

NMC case report journal Pub Date : 2025-12-18 eCollection Date: 2025-01-01 DOI: 10.2176/jns-nmc.2025-0223

Takanori Fukunaga, Shingo Toyota, Tomoaki Murakami, Hiroya Matsumoto, Kosei Okochi, Koichi Nakashima, Motoki Nakamura, Shuhei Yamada, Koji Takano, Maki Kobayashi, Haruhiko Kishima

{"title":"A Rare Case of Posterior Fossa Decompression Performed during Pregnancy for Chiari Malformation Type I.","authors":"Takanori Fukunaga, Shingo Toyota, Tomoaki Murakami, Hiroya Matsumoto, Kosei Okochi, Koichi Nakashima, Motoki Nakamura, Shuhei Yamada, Koji Takano, Maki Kobayashi, Haruhiko Kishima","doi":"10.2176/jns-nmc.2025-0223","DOIUrl":"10.2176/jns-nmc.2025-0223","url":null,"abstract":"Chiari malformation type I poses significant challenges during pregnancy, particularly among patients who present with severe or progressive neurological symptoms. Due to the rarity of the condition, clear management guidelines during pregnancy are lacking. Surgical intervention is generally deferred until the postpartum period. We report the case of a woman in her early 30s who presented with a 6-month history of severe downbeat nystagmus and cough-induced headaches. Magnetic resonance imaging revealed the presence of a 27-mm descent of the cerebellar tonsils and a small syrinx, with features consistent with Chiari malformation type I. She was found to be pregnant shortly after the diagnosis. Considering the severity of her symptoms and the surgical risks during the third trimester, posterior fossa decompression with duraplasty was performed at 15 weeks' gestation. The procedure was uneventful, and her headaches improved postoperatively. No neurological deterioration was observed during labor, and she delivered a healthy infant via spontaneous vaginal delivery. This case represents a rare instance of posterior fossa decompression for Chiari malformation type I performed during pregnancy. The favorable outcome highlights the potential safety and efficacy of second-trimester surgical intervention in select cases. We hope that this report will aid clinicians in making informed decisions regarding treatment timing for pregnant patients with symptomatic Chiari malformation type I.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"12 ","pages":"571-575"},"PeriodicalIF":0.0,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12803753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Common Peroneal Nerve Entrapment Neuropathy Involving a Vein-Case Report. 腓总神经卡压神经病伴静脉1例报告。

NMC case report journal Pub Date : 2025-12-18 eCollection Date: 2025-01-01 DOI: 10.2176/jns-nmc.2025-0243

Taisuke Yoshinaga, Kyongsong Kim, Toyohiko Isu, Juntaro Matsumoto, Yasuhiro Ito, Masanori Isobe, Hiroshi Abe

引用次数: 0

Sequential Full-Endoscopic Decompression under Local Anesthesia for Concurrent L4/5 Lateral Recess and L5/S1 Foraminal Stenosis Due to Stable Isthmic Spondylolisthesis: A Case Report. 局麻下连续全内窥镜减压治疗稳定性峡部滑脱并发L4/5侧隐窝和L5/S1椎间孔狭窄1例

NMC case report journal Pub Date : 2025-12-18 eCollection Date: 2025-01-01 DOI: 10.2176/jns-nmc.2025-0198

Hiroshi Kageyama, Ryota Mio, Fumiaki Makiyama, Takayuki Kitahara, Takafumi Ohshima, Naoto Ono, Yuji Nagao, Saori Soeda, Makoto Takeuchi, Kosuke Sugiura, Masatoshi Morimoto, Hiroaki Manabe, Fumitake Tezuka, Kazuta Yamashita, Junzo Fujitani, Koichi Sairyo

{"title":"Sequential Full-Endoscopic Decompression under Local Anesthesia for Concurrent L4/5 Lateral Recess and L5/S1 Foraminal Stenosis Due to Stable Isthmic Spondylolisthesis: A Case Report.","authors":"Hiroshi Kageyama, Ryota Mio, Fumiaki Makiyama, Takayuki Kitahara, Takafumi Ohshima, Naoto Ono, Yuji Nagao, Saori Soeda, Makoto Takeuchi, Kosuke Sugiura, Masatoshi Morimoto, Hiroaki Manabe, Fumitake Tezuka, Kazuta Yamashita, Junzo Fujitani, Koichi Sairyo","doi":"10.2176/jns-nmc.2025-0198","DOIUrl":"10.2176/jns-nmc.2025-0198","url":null,"abstract":"Isthmic spondylolisthesis at the L5-S1 level frequently leads to foraminal stenosis, while degenerative changes often cause lumbar spinal canal stenosis at L4-5. When both conditions coexist, accurate identification of the symptomatic lesion is challenging. Conventional surgical strategies typically involve combined decompression and interbody fusion under general anesthesia, which may not be suitable for elderly or high-risk patients. Recent advances in full-endoscopic spine surgery performed under local anesthesia provide a minimally invasive alternative. In this report, we present the case of a 75-year-old man with L5 radiculopathy in whom magnetic resonance imaging demonstrated right-sided lateral recess stenosis at L4-5 and right-sided foraminal stenosis at L5-S1 due to stable isthmic spondylolisthesis. Two-stage full-endoscopic spine surgery was performed under local anesthesia. The first procedure involved transforaminal pars crisscross decompression at L5-S1. Although foraminal decompression was achieved, symptoms persisted. A second-stage full-endoscopic ventral facetectomy at L4-5 resulted in immediate resolution of his symptoms. The patient remained asymptomatic at the 3-month follow-up. This case highlights the feasibility and efficacy of sequential full-endoscopic decompression under local anesthesia for multilevel lumbar stenosis associated with L5 radiculopathy. This approach may serve as a safe, less invasive alternative to fusion surgery in elderly patients and those with significant comorbidities.","PeriodicalId":101331,"journal":{"name":"NMC case report journal","volume":"12 ","pages":"547-552"},"PeriodicalIF":0.0,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12803752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0