PMC7515971_01
The Results of MRI for Lumbar Spine.. The lumbar spine MRI images in this 56-year-old woman. 1a, Sagittal images showed L4/5 disc herniation and spinal stenosis. 1b, 1c, Horizontal images shows serious spinal and bilateral recess stenosis in L4/5 level, and right lateral recess stenosis in L5/S1 level.
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Lumbar spine computerized tomography and magnetic resonance imaging demonstrated oblivious lumbar spinal stenosis (Fig. 1a-c). No abnormalities were found (Fig. 2a, b, and Table 1).
The Results of Doppler Ultrasound for Thyroid Gland.. The thyroid gland ultrasound images in this 56-year-old woman on preoperative time. 2a,and 2b Doppler ultrasound images showed normal-size gland and normal cervical vascular. Besides, ultrasound examination did not find any thyroid nodule.
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No abnormalities were found (Fig. 2a, b, and Table 1).
The Routine Poster-operative X-rays.. The poster-operative X-rays images in this 56-year-old woman. 3a, and 3b showed posterior lumbar disc discectomy(L4/5, L5/S1) and spinal canal decompression combined with pedicle screw fixation and autogenous bone graft fusion.
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Subsequently, she underwent posterior lumbar disc discectomy (L4/5, L5/S1) and spinal canal decompression combined with pedicle screw fixation and autogenous bone graft fusion (Fig. 3a, b).
The Changes of Blood Pressure and Dosage of Dopamine Before Accepted Hormonotherapy.. Fig. 4a and b showed unstable blood pressure before accepted intravenous hydrocortisone, even if a large amount of dopamine were used.. Illustration: DP: Diastolic Blood Pressure, SP: Systolic Pressure. Red Line in Fig. 4b showed the trend of dosage of Dopamine.
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The profound hypotension was unresponsive to intravenous fluids, and a large doses of vasopressors were required (Fig. 4a, b).
The CT Images of Pituitarium and Paranephros on Poster-operative Time.. Illustration: The routine poster-operative CT images in this 56-year-old woman. Fig. 5a and b showed the normal pituitary body without any tissue neoplasm and bone destruction. Fig. 5c and d showed the normal morphology bilateral paranephros.
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The Changes of Blood Pressure and Dosage of Dopamine After Accepted Hormonotherapy.. Fig. 6a-d showed unstable blood pressure before accepted intravenous hydrocortisone, even if a large amount of dopamine were used. Illustration: DP: Diastolic Blood Pressure, SP: Systolic Pressure. Red Triangle in Fig. 6a-c expressed that intravenous usage of 100 mg hydrocortisone. Blue Triangle in Fig. 6c expressed that intravenous usage of 50 mg hydrocortisone. Double brown Triangles showed Oral hydrocortisone on Dec. 7. Yellow Line in Fig. 6d showed the trend of dosage of Dopamine.
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The blood pressure gradually recovered and maintained at the normal level without any vasopressors and intravenous fluids (Fig. 6a-d).