Ahmet ÇETİNKAL, A. K. TOPUZ, A. ÇOLAK, A. M. KUTLAY, S. KAYA, M. N. DEMİRCAN

Travma sonrası regrese servikal disk hernisi

Bildirimizde, “benzer” olgular eşliğinde geçirilen travma sonrası regrese olan bir servikal disk hernisi olgusu sunuyoruz. Boyun ve sol kol ağrısı yakınması olan 47 yaşında bayan hasta konservatif medikal tedavi altındayken 2 yıl sonra sol omuz ile kolda ve interskapuler bölgede ağrı, sol kolda güçsüzlük ve sol el başparmağında uyuşukluk yakınması ile tekrar kliniğimize başvurdu. Servikal MR'ında C5-6 seviyesinde ekstrüde yumuşak servikal disk hernisi saptandı. Operasyon önerisini kabul etmeyen hasta bundan 9 ay sonra geçirdiği travma sonrası şikayetlerinin aniden geçtiğini ifade ediyor. Travma ile aynı gün yapılan MR'ında C5-6 seviyeli disk hernisinin kaybolduğu ve küçük bir bulging haline geldiği saptanmıştır.Disk herniasyonlarından özellikle lomber bölgede spontan regresyon, iyi bilinen ve tanımlanmış bir fenomendir. Sunduğumuz olguya benzer travmaya sekonder ve akut regrese olduğu bildirilen herhangi bir olgu sunumu ile karşılaşılmamıştır. T2 ağırlıklı kesitlerde hiperintens görünümlü olan yani yumuşak disk karakterini korumakta olan herniasyonların ani ve spontan gerileme potansiyellerinin diğerlerine göre daha fazla olduğu kanısındayız.

Regression of herniated cervıcal disc after trauma

We report a case of herniated cervical disc that regressed after trauma. 47 year-old female patient with neck and left upper limb pain who has been receiving conservative medical treatment admitted after two years with pain in the left shoulder, arm and interscapular region. She had weakness in the left arm and numbness of left first finger. On MR images an extruded herniated soft cervical disc in the C5-6 intervertebral disc space.has been detected. The patient did not accept surgery and she reported that her pain was relieved suddenly after a trauma that she lived 9 months after detection of the disc herniation. MR images which were obtained in the day of trauma revealed that herniated disc had disappeared and only a bulging in C5-6 level remained. Spontaneous regression of disc herniations, especially of lumbar region is well known and defined phenomenon. No any case of herniated disc similar to ours that regressed abruptly and secondary to a trauma could be detected. We consider that the herniated soft discs which are detected as hyperintense on T2 weighted scans have more potentials of spontaneous and sudden regression than others..

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