This is a case of lateral recess stenosis secondary occurred the discal fungus infection treated with percutaneous transforaminal endoscopic discectomy (PTED). There has been no relevant reports before. A 49-year-old patient who had taken itraconazole for 13 months for lateral recess stenosis secondary occurred the discal fungus infection complained of gradually worsening radiating pain and numbness in the back and inguinal and inner thigh region of right side. In order to relieve the radiating neuralgia and reduce the damage to spinal stability, the minimally invasive PTED was performed.The patient’s prognosis was assessed using Oswestry Disability Index (ODI) and Visual Analogue Scale (VAS). During the follow-up, the patient’s ODI and VAS scores were decreased significantly. The radiating pain in the inguinal and inner thigh region of right side were significantly alleviated and the discomfort caused by lower back instability was improved by plaster vest. PTED not only avoids further damage to the stability of the lumbar spine, but also effectively relieves the symptoms of leg neuroradialgia caused by lateral recess stenosis secondary occurred the discal fungus infection.

中文翻译：

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经皮经椎间孔镜下椎间盘摘除术治疗外侧隐窝狭窄继发发生的盘状真菌感染

这是继发于外侧隐窝狭窄的病例，经皮经孔椎间孔内镜下椎间盘切除术（PTED）治疗了盘状真菌感染。之前没有相关报告。一名49岁的患者因继发的侧隐窝狭窄而接受伊曲康唑治疗13个月，发生了盘状真菌感染，抱怨右侧背部和腹股沟及大腿内侧区域的放射痛和麻木逐渐加重。为了减轻放射神经痛并减少对脊柱稳定性的损害，进行了微创PTED检查。使用Oswestry残疾指数（ODI）和视觉模拟量表（VAS）评估患者的预后。在随访期间，患者的ODI和VAS评分显着降低。石膏背心可显着减轻右侧腹股沟和大腿内侧区域的放射痛，并改善由下背部不稳定引起的不适。PTED不仅避免了进一步损害腰椎稳定性，而且还有效地缓解了因继发于椎间盘感染而引起的侧隐窝狭窄引起的腿神经radi痛症状。