{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T19:57:31Z","timestamp":1772827051439,"version":"3.50.1"},"reference-count":11,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Background:<\/jats:title>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.<\/jats:p><\/jats:sec>Case Description:<\/jats:title>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 1st<\/jats:sup>postoperative day. The patient experienced complete relief of radicular symptomatology 1 year postoperatively.<\/jats:p><\/jats:sec>Conclusion:<\/jats:title>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.<\/jats:p><\/jats:sec>","DOI":"10.25259\/sni_581_2020","type":"journal-article","created":{"date-parts":[[2020,2,14]],"date-time":"2020-02-14T17:59:03Z","timestamp":1581703143000},"page":"23","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The role of full-endoscopic lumbar discectomy in patients with neurodegenerative disorders: Technical note and short literature review"],"prefix":"10.25259","volume":"11","author":[{"given":"Stylianos","family":"Kapetanakis","sequence":"first","affiliation":[{"name":"Athens Medical Center, Athens, Greece,"},{"name":"Spine Department and Deformities, Interbalkan European Medical Center, Thessaloniki, Greece."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos","family":"Gkantsinikoudis","sequence":"additional","affiliation":[{"name":"Spine Department and Deformities, Interbalkan European Medical Center, Thessaloniki, Greece."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tryfon","family":"Thomaidis","sequence":"additional","affiliation":[{"name":"Spine Department and Deformities, Interbalkan European Medical Center, Thessaloniki, Greece."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Theodosiadis","sequence":"additional","affiliation":[{"name":"Spine Department and Deformities, Interbalkan European Medical Center, Thessaloniki, Greece."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,2,14]]},"reference":[{"key":"10.25259\/SNI_581_2020\/ref-1","doi-asserted-by":"crossref","first-page":"1216","DOI":"10.23736\/S0375-9393.17.11996-6","article-title":"Anesthesia and postoperative analgesia for a patient with amyotrophic lateral sclerosis","volume":"83","author":"Gu","year":"2017","journal-title":"Minerva Anestesiol"},{"key":"10.25259\/SNI_581_2020\/ref-2","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1034\/j.1600-0404.2001.103004207.x","article-title":"Respiratory complications related to bulbar dysfunction in motor neuron disease","volume":"103","author":"Hadjikoutis","year":"2001","journal-title":"Acta Neurol Scand"},{"key":"10.25259\/SNI_581_2020\/ref-3","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1097\/00003086-198710000-00016","article-title":"Percutaneous posterolateral discectomy. Anatomy and mechanism","volume":"223","author":"Kambin","year":"1987","journal-title":"Clin Orthop Relat Res"},{"key":"10.25259\/SNI_581_2020\/ref-4","doi-asserted-by":"crossref","first-page":"671","DOI":"10.4184\/asj.2016.10.4.671","article-title":"Transforaminal percutaneous endoscopic discectomy for lumbar disc herniation in parkinson\u2019s disease: A case-control study","volume":"10","author":"Kapetanakis","year":"2016","journal-title":"Asian Spine J"},{"key":"10.25259\/SNI_581_2020\/ref-5","doi-asserted-by":"crossref","first-page":"144","DOI":"10.14245\/kjs.2016.13.3.144","article-title":"Transforaminal percutaneous endoscopic discectomy in parkinson disease: Preliminary results and short review of the literature","volume":"13","author":"Kapetanakis","year":"2016","journal-title":"Korean J Spine"},{"key":"10.25259\/SNI_581_2020\/ref-6","doi-asserted-by":"crossref","first-page":"96","DOI":"10.14245\/ns.1836334.167","article-title":"The role of full-endoscopic lumbar discectomy in surgical treatment of recurrent lumbar disc herniation: A health-related quality of life approach","volume":"16","author":"Kapetanakis","year":"2019","journal-title":"Neurospine"},{"key":"10.25259\/SNI_581_2020\/ref-7","doi-asserted-by":"crossref","first-page":"188","DOI":"10.4103\/jcvjs.JCVJS_76_18","article-title":"Percutaneous endoscopic ventral facetectomy: An innovative substitute of open decompression surgery for lateral recess stenosis surgical treatment?","volume":"9","author":"Kapetanakis","year":"2018","journal-title":"J Craniovertebr Junction Spine"},{"key":"10.25259\/SNI_581_2020\/ref-8","doi-asserted-by":"crossref","first-page":"638","DOI":"10.31616\/asj.2018.0179","article-title":"The Role of Percutaneous Transforaminal Endoscopic Surgery in Lateral Recess Stenosis in Elderly Patients","volume":"13","author":"Kapetanakis","year":"2019","journal-title":"Asian Spine J"},{"key":"10.25259\/SNI_581_2020\/ref-9","first-page":"933","article-title":"Anaesthetic management of a patient with motor neuron disease posted for microlaryngeal surgery","volume":"110","author":"Niyogi","year":"2012","journal-title":"J Indian Med Assoc"},{"key":"10.25259\/SNI_581_2020\/ref-10","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.jclinane.2016.10.009","article-title":"Total intravenous anesthesia without muscle relaxant in a parturient with amyotrophic lateral sclerosis undergoing cesarean section: A case report","volume":"36","author":"Xiao","year":"2017","journal-title":"J Clin Anesth"},{"key":"10.25259\/SNI_581_2020\/ref-11","doi-asserted-by":"crossref","first-page":"1768","DOI":"10.4103\/0366-6999.211538","article-title":"Clinical features of isolated bulbar palsy of amyotrophic lateral sclerosis in Chinese population","volume":"130","author":"Zhang","year":"2017","journal-title":"Chin Med J (Engl)"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/the-role-of-full-endoscopic-lumbar-discectomy-in-patients-with-neurodegenerative-disorders-technical-note-and-short-literature-review\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/the-role-of-full-endoscopic-lumbar-discectomy-in-patients-with-neurodegenerative-disorders-technical-note-and-short-literature-review\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,15]],"date-time":"2022-10-15T16:55:26Z","timestamp":1665852926000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/the-role-of-full-endoscopic-lumbar-discectomy-in-patients-with-neurodegenerative-disorders-technical-note-and-short-literature-review\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,14]]},"references-count":11,"alternative-id":["10.25259\/SNI_581_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_581_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,14]]},"article-number":"23"}}