| Spontaneous Resorption of Sequestrated Intervertebral Disc Herniation. | |
| | |
MedLine Citation:
|
PMID: 22154147 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
OBJECTIVE: The aim of this study is to describe six cases with spontaneous resorption of sequestrated intervertebral disc herniation observed using magnetic resonance imaging. In addition, the possible mechanisms, predictive factors of spontaneous disappearance of the sequestrated disc herniation, and the proper surgical timing were discussed and reviewed in literature. METHODS: All the studied cases experienced acute radicular pain due to sequestrated intervertebral disc herniation; they refused surgery and were treated conservatively, and they were followed up neurologically and radiologically in the outpatient clinic in regular visits. RESULTS: The studied cases included five cases with lumbar disc herniation (three at level L4-5 and two at level L5-S1) and one case with cervical disc herniation at level C5-6. All patients recovered from their radicular pain within 3 to 6 weeks, and it was correlated with resorption of their sequestrated intervertebral disc herniation as documented in their follow-up magnetic resonance imaging at 4 to 9 months. CONCLUSIONS: We found that sequestrated disc herniation has potential for regression, which can be clearly demonstrated by magnetic resonance imaging, because of having higher water content, and therefore, may regress through both dehydration and inflammation-mediated resorption. We suggest conservative treatment in the initial course of the sequestrated type of disc herniation for at least 2 months before recommending surgical intervention unless severe neurologic deterioration takes place. |
| | |
Authors:
|
Tamer Orief; Yasser Orz; Walid Attia; Khaled Almusrea |
Related Documents
:
|
21647897 - Mri scanning in patients implanted with a vibrant soundbridge. 15709147 - Necrotic nasopharyngeal mucosa: an ominous mr sign of a carotid artery pseudoaneurysm. 16714647 - Focal nodular hyperplasia: lesion evaluation using 16-mdct and 3d ct angiography. 15024587 - Rings, slings and other vascular abnormalities. ultrafast computed tomography and magne... 18188557 - Amyloid plaque imaging in vivo: current achievement and future prospects. 19608227 - White matter tract involvement in brain tumors: a diffusion tensor imaging analysis. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-11-17 |
Journal Detail:
|
Title: World neurosurgery Volume: - ISSN: 1878-8750 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
|
Created Date: 2011-12-13 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101528275 Medline TA: World Neurosurg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Spine surgery, Neurosciences center, King Fahad Medical City, Riyadh, Saudi Arabia. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Acute toxicity and n-octanol/water partition coefficients of substituted thiophenols: Determination ...
Next Document: Subdural Drainage versus Subperiostal Drainage in Burr-Hole Trepanation for Symptomatic Chronic Subd...