Mesut METE, Mehmet SAVRAN, Füsun DEMİRÇİVİ ÖZER, Yusuf Kurtuluş DURANSOY

Spontaneous resolution of a herniated fragment cervical disc

ABSTRACT Although the spontaneous resolution of herniated nucleus pulposus is a well known phe¬nomenon in lumbar disc herniations, it is rarely encountered in the cervical region. The spontaneous resolution of a herniated cervical disc in a woman is reported to describe a rare occurrence of spontaneous regression of a cervical herniated nucleus pulposus and to discuss its mechanism. A woman with a large and fragment herniated cervical disc refused to undergo operation and was followed-up for 1,5 months. In control magnetic resonance imaging of the cervical spine revealed a complete regression of the herni¬ated disc material. Her symtoms were also alleviated. In large and fragment cervical disc herniations without severe myelopathy symptoms, potential for spontaneous regression should be considered. J. Exp. Clin. Med., 2011; 28:124-126

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Guinto, F.C., Hashim, H., Stumer, M., 1984. CT demonstration of disk regression after conservative therapy. AJNR Am. J. Neuroradiol. 5, 632- 633.
Gurkanlar, D., Yucel, E., Er, U., 2006. Spontaneous regression of cervical disc herniations. Minim. Invasive Neurosurg. 49, 179-183.
Pan, H., Xiao, L.W., Hu, Q.F., 2010. Spontaneous regression of herniated cervical disc fragments and its clinical significance. Orthoped. Surg. 2, 77-79.
Keskil, S., Ayberk, G., Evliyaoglu, C., 2004. Spontaneous resolution of ‘protruded’ lumbar discs. Minim. Invasive Neurosurg. 47, 226-229.
Kobayashi, N., Asamoto, S., Doi, H., 2003. Spontaneous regression of herniated cervical disc. Spine J. 3, 171-173.
Kokubun, S., Sakurai, M., Tanaka, Y., 1996. Cartilaginous endplate in cervical disc herniation. Spine. 21, 190-195.
Komori, H., Okawa, A., Haro, H., 1998. Contrast-enhanced magnetic resonance imaging in conservative management of lumbar disc herniation. Spine, 23, 67-73. 126 Mete et al.
Krieger, A.J., Maniker, A.H., 1992. MRI-documented regression of a herniated cervical nucleus pulposus: a case report. Surg. Neurol. 37, 457- 459.
Mirzai, H., Umur, A.S., Barutcuoglu, M., Tosun, C., Akbasak, A., 2003. Spontan resolutıon of a hernıated cervıcal dısc. T. Klin. J. Med. Sci. 23, 480-482.
Mochida, K., Komori, H., Okawa, A., 1998. Regression of cervical disc herniation observed on magnetic resonance images. Spine. 23, 990- 995.
Song, J.H., Park, H.K., Shin, K.M., 1999. Spontaneous regression of a herniated cervical disc in a patient with myelopathy. Case report. J. Neurosurg. 90, S138-S140.
Westmark, R.M., Westmark, K.D., Sonntag, V.K., 1997. Disappearing cervical disc. Case report. J. Neurosurg. 86, 289-290.