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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2025; 13(13): 101444
Published online May 6, 2025. doi: 10.12998/wjcc.v13.i13.101444
Published online May 6, 2025. doi: 10.12998/wjcc.v13.i13.101444
Cerebral complications after unilateral biportal endoscopic surgery: A case report
Chao Han, Department of Anesthesiology, The Affiliated Yixing Hospital of Jiangsu University, Yixing 214200, Jiangsu Province, China
Zhan-Yun Ren, Department of Neurology, The Affiliated Yixing Hospital of Jiangsu University, Yixing 214200, Jiangsu Province, China
Zhen-Huan Jiang, Department of Orthopedics, The Affiliated Yixing Hospital of Jiangsu University, Yixing 214200, Jiangsu Province, China
Yi-Feng Luo, Department of Radiology, the Affiliated Yixing Hospital of Jiangsu University, Yixing 214200, Jiangsu Province, China
Co-corresponding authors: Chao Han and Yi-Feng Luo.
Author contributions: Jiang ZH, Ren ZY and Luo YF contributed to data collection and discussion; Han C contributed to drafting of the manuscript. All authors provided final approval for the submitted version.
Informed consent statement: The patient has given her consent for her clinical information to be used anonymously for the publication of her case study.
Conflict-of-interest statement: The authors declare there is no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
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/
Corresponding author: Chao Han, MD, Assistant Professor, Department of Anesthesiology, The Affiliated Yixing Hospital of Jiangsu University, No. 1588 Xincheng Road, Yixing 214200, Jiangsu Province, China. staff940@yxph.com
Received: September 18, 2024
Revised: December 5, 2024
Accepted: December 27, 2024
Published online: May 6, 2025
Processing time: 114 Days and 22.7 Hours
Revised: December 5, 2024
Accepted: December 27, 2024
Published online: May 6, 2025
Processing time: 114 Days and 22.7 Hours
Core Tip
Core Tip: Unilateral biportal endoscopic (UBE) surgery has developed rapidly during the past decade. Continuous epidural space irrigation is generally considered as the principal reason of cerebral complications following UBE surgery. We herein presented a case of mental symptoms during the general anesthesia awakening period due to pneumocephalus, accompanied by de-cerebrate rigidity. The case indicated that pneumocephalus induced by dural injury may also be a potential cause. Definitive diagnostic imaging is essential to discriminate the special condition.