Extrude-Sequestrum Spontaneous Regression of Lumbar Disc Hernia: Case Report
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Abstract
The correct approach to the lumbar disc hernia is subject to debate. Although a rare case of lumbar disc herniation with spontaneous regression, to be seen and is a well-known phenomenon commonly reported. But the underlying mechanism has not been fully clarified. Proposed mechanisms are enzymatic degradation and phagocytosis, dehydration and the retraction of a herniated disc in the annulus fibrosus. Cauda equina syndrome, despite the progressive narcotic pain goes outside and progressive neurological deficits, conservative treatment should be given priority to patients. Think about the possibility that spontaneously regressed with medical treatment and follow-up of disc herniation, should not rush to surgery. In our case, the level of lumbar disc herniation was presented on spontaneously regressed patients. The patient's clinical condition is improved in accordance with the resolution of the disc herniation and this is confirmed by magnetic resonance imaging
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Dandy WE. Loose cartilage from intervertebral disk simulating tumor of the spinal cord. By Walter E. Dandy, 1929. Clin Orthop Relat Res 1989;(238):4-8.
Mixter WJ, Barr JS. Rupture of the intervertebral disc with involvement of the spinal cord. New Engl J Med 1934;211:210–5.
Teplick JG, Haskin ME: Spontaneous Regression of herniated nucleous pulposus. AJR 145:371-375,1985
Finneson BE, Shmidek HH; Lumbar disc excision, Schimidek&Sweet, Operative neurosurgical tecniques, Cilt 2, 4th ed. Philadelphia: WB Saunders; 2000. p.2219-31.
Sung-Joo Ryu, In Soo Kim. Spontaneous Regression of a Large Lumbar Disc Extrusion. J Korean Neurosurg Soc 2010;48(3):285–7.
Bozzao A, Gallucci M, Masciocchi C, Aprile I, Barile A, Passariello R. Lumbar disk herniation: MR imaging assessment of natural history in patients treated without surgery. Radiology 1992;185(1):135-41.
Ocak FDM, Karaaslan M, Tutar İ, Konuralp N, Güzelant AY, Özgüzel H: Lomber disk hernilerinde konservatif tedavi etkinliğinin klinik parametreler ve manyetik rezonans görüntüleme yöntemiyle değerlendirilmesi. Türk Fiz Tıp Rehab Derg 53: 108-112,2007
Takada E, Takahashi M, Shimada K: Natural history of lumbar disc hernia with radicular leg pain: Spontaneous MRI changes of the herniated mass and correlation with clinical otcome. Jounal of Orthopaedic Surgery 9: 1-7,2001
Matsubara Y, Kato F, Mimatsu K, Kajino G, Nakamura S, Nitta H. Serial changes on MRI in lumbar disc herniations treated conservatively. Neuroradiology 1995;37(5):378-83
Slavin KV, Raja A, Thornton J, Wagner FC Jr. Spontaneous regression of a large lumbar disc herniation: report of an illustrative case. Surg Neurol 2001;56(5):333-6; discussion 337.
Saal JA. Natural history and nonoperative treatment of lumbar disc herniation. Spine (Phila Pa 1976). 1996;15;21(24 Suppl):2S-9S.
Komori H, Shinomiya K, Nakai O, Yamaura I, Takeda S, Furuya K. The natural history of herniated nucleus pulposus with radiculopathy. Spine (Phila Pa 1976) 1996;15;21(2):225-9.
Haro H, Shinomiya K, Murakami S, Spengler DM. Up-regulated expression of matrilysin and neutrophil collagenase in human herniated discs. J Spinal Disord 1999;12(3):245-9.
Henmi T, Sairyo K, Nakano S, Kanematsu Y, Kajikawa T, Katoh S, et al. Natural history of extruded lumbar intervertebral disc herniation. J Med Invest 2002;49(1-2):40-3