ArticleFrontiers in surgery2025
Unilateral biportal endoscopy-induced intracranial pneumocephalus as radiographic evidence of raised intracranial pressure resulting from dural tear: a case report.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Epidemiology of spinal cord hypertension syndrome in water-mediated uniportal full endoscopic thoracolumbar surgery: a single-center experience.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
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14 authors.
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Abstract
Unilateral Bioportal Endoscopy (UBE), as a minimally invasive technique, has shown significant advantages in the treatment of spinal disorders. However, it comes with surgical risks and complications, particularly acute neurological deficits. In this report, we present a rare case of pneumocephalus as a complication following unilateral dual-channel spinal surgery (UBE) for lumbar disc herniation. A 54-year-old male patient underwent UBE-assisted disc removal surgery for L5-S1 disc herniation. No obvious dural tear was noted during the surgery. Postoperatively, the patient experienced difficulty awakening from anesthesia, with signs of altered consciousness. CT imaging revealed pneumocephalus. On the second postoperative day, cerebrospinal fluid leakage and symptoms of decreased intracranial pressure were observed. After symptomatic treatment, no significant neurological sequelae were noted, and the patient was discharged. Postoperative clinical signs of increased intracranial pressure and imaging evidence of pneumocephalus suggest the occurrence of dural injury.
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