A Rare Case of Near Complete Regression of a Large Cervical Disc Herniation without Any Intervention Demonstrated on MRI

There are very few reported cases of regression of large cervical disc herniation without any intervention—the so-called spontaneous regression, demonstrated using MRI. We report a rare and interesting case of MRI that demonstrated near complete regression of a large herniated cervical intervertebral disc, without any surgical treatment.

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Spontaneous Healing of Brown-Sequard Syndrome Caused by Cervical Disc Herniation

10.29007/4srb ◽

2019 ◽

Author(s):

Xiaoyun Liu ◽

Hongzhi Hu ◽

Zhengwu Shao ◽

Mao Xie

Keyword(s):

Surgical Treatment ◽

Disc Herniation ◽

Rare Case ◽

Cervical Disc Herniation ◽

Cervical Disc ◽

Complete Disappearance ◽

Spontaneous Healing ◽

Spinal Neoplasm ◽

Brown Sequard Syndrome

Brown-Sequard syndrome (BSS) is most commonly seen in patients with spinal trauma and extramedullary spinal neoplasm. Pure BSS caused by cervical disc herniation is extremely rare. Operative treatment is generally recommended those patients with BSS to improve neurological function. Here, we report a rare case of spontaneous healing of BSS caused by cervical disc herniation. Two years follow-up showed complete disappearance of symptoms without recurrence. To our knowledge, no similar cases have been reported before. Therefore, for appropriate patients, conservative treatment can be considered for a few months before deciding on surgical treatment.

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Spontaneous regression of cervical disc herniation in a patient with myelopathy

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh170504023r ◽

2018 ◽

Vol 146 (7-8) ◽

pp. 445-446

Author(s):

Danilo Radulovic ◽

Ljiljana Vujotic ◽

Irena Cvrkota ◽

Vojislav Bogosavljevic ◽

Igor Jovanovic

Keyword(s):

Cervical Spine ◽

Disc Herniation ◽

Spontaneous Regression ◽

Symptomatic Treatment ◽

Cervical Disc Herniation ◽

Cervical Disc ◽

Symptomatic Therapy ◽

Complete Regression ◽

Magnetic Resonance Imaging Mri ◽

One Year

Introduction. The aim of this work was to present a rare case of spontaneous regression of a herniated cervical disc in a patient with myelopathy. Case outline. A 31-year-old women presented with two weeks? history of neck pain associated with numbness in her body and all four extremities. Magnetic resonance imaging (MRI) of the cervical spine showed a large posterior medial disc extrusion at the C5?C6 spinal segment, causing myelopathy. The patient refused discectomy that was recommended. She received symptomatic treatment in the form of analgesics, a muscle relaxant, and a hard cervical collar. A follow-up MRI of the cervical spine, performed after 11 months, revealed almost complete regression of disc herniation. The patient?s symptoms subsided completely after one year. Conclusion. In some cases of cervical disc herniation with myelopathy, especially in patients with mild neurological deficit, symptomatic therapy should be considered.

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Spontaneous Regression of Cervical Disc Herniation: A Case Report

Korean Journal of Spine ◽

10.14245/kjs.2014.11.4.235 ◽

2014 ◽

Vol 11 (4) ◽

pp. 235 ◽

Cited By ~ 3

Author(s):

Seong Rok Han ◽

Chan Young Choi

Keyword(s):

Case Report ◽

Disc Herniation ◽

Spontaneous Regression ◽

Cervical Disc Herniation ◽

Cervical Disc

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Endogenous-Lesioned Cervical Disc Herniation: A Retrospective Review of 9 Cases

International Surgery ◽

10.9738/1374.1 ◽

2011 ◽

Vol 96 (4) ◽

pp. 363-370

Author(s):

Zifeng Zhang ◽

Yushu Bai ◽

Tiesheng Hou

Keyword(s):

Surgical Treatment ◽

Disc Herniation ◽

Clinical Presentation ◽

Cervical Spinal Cord ◽

Surgical Decompression ◽

Cervical Disc Herniation ◽

Cervical Disc ◽

Uneventful Recovery ◽

Pathogenic Mechanisms ◽

External Trauma

Abstract The purpose of this study was to analyze the pathogenic mechanisms, clinical presentation, and surgical treatment of cervical disc herniation without external trauma. Between 2004 and 2008, 9 patients with cervical disc herniation and no antecedent history of trauma were diagnosed with cervical disc herniation and underwent surgical decompression. Pathogenic mechanisms, clinical presentation, surgical treatment, and prognosis were analyzed retrospectively. In 6 patients, herniation resulted from excessive neck motion rather than from external trauma. An injury from this source is termed an endogenous-lesioned injury. Patients exhibited neurologic symptoms of compression of the cervical spinal cord or nerve roots. In the other 3 patients, no clear cause for the herniation was recorded, but all patients had a desk job with long periods of head-down neck flexion posture. After surgery, all patients experienced a reduction in their symptoms and an uneventful recovery. Cervical disc herniation can occur in the absence of trauma. Surgical decompression is effective at reducing symptoms in these patients, similar to other patients with cervical disc herniation. Surgical treatment may be considered for this disorder when the herniation becomes symptomatic.

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Wake-up stroke in a young woman with rotational vertebral artery occlusion due to far-lateral cervical disc herniation

Journal of Neurosurgery Spine ◽

10.3171/2014.11.spine14393 ◽

2015 ◽

Vol 23 (2) ◽

pp. 166-169 ◽

Cited By ~ 6

Author(s):

Masakazu Okawa ◽

Takaaki Amamoto ◽

Hiroshi Abe ◽

Sohei Yoshimura ◽

Toshio Higashi ◽

...

Keyword(s):

Intervertebral Disc ◽

Vertebral Artery ◽

Young Woman ◽

Disc Herniation ◽

Cervical Disc Herniation ◽

Cervical Disc ◽

Intervertebral Disc Herniation ◽

Far Lateral ◽

The Right ◽

Lateral Cervical Disc Herniation

Wake-up stroke is most likely to be caused by small-vessel disease, and is related to snoring. The authors present a rare case of far-lateral cervical disc herniation with neck rotation, resulting in wake-up stroke in a young woman. The patient, a 31-year-old woman, was admitted to the hospital because of dysarthria and confusion when she awoke in the morning. Brain MRI showed acute infarction in the posterior fossa. Cerebral angiography showed thrombus in the distal top of the basilar artery and the bilateral posterior cerebral arteries. During angiography, the thrombus size decreased with heparinization. There was severe stenosis of the right vertebral artery (VA) at C5–6, and head rotation to the right resulted in complete occlusion of the right VA. Neck MRI showed far-lateral intervertebral disc herniation. Surgical decompression of the VA was performed via the anterior cervical approach. Histological examination showed a degenerative intervertebral disc. Postoperative angiography confirmed successful decompression of the VA.

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