MRI-documented regression of a herniated cervical nucleus pulposus: A case report

Krieger, Abbott J.; Maniker, Allen H.

doi:10.1016/0090-3019(92)90135-a

Cited by 27 publications

(23 citation statements)

References 2 publications

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“…15 Additional studies of both lumbar and cervical disk herniations have shown significant regression in the size of these lesions at follow-up intervals ranging from 5 to 12 months; in many cases, herniations have disappeared. 4,5,10,11,17 In this study, we did not restrict the interval between onset of symptoms and MRI scanning; theoretically, some of our patients may have had regression of the responsible anatomic lesion despite persistent symptoms from residual root injury.…”

Section: Discussionmentioning

confidence: 80%

Electromyography and magnetic resonance imaging in the evaluation of radiculopathy

et al. 1999

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Electromyography (EMG) and magnetic resonance imaging (MRI) are commonly used in the diagnosis of cervical and lumbosacral radiculopathy, but the agreement between the two studies is unknown. We retrospectively studied 47 patients with a clinical history compatible with either cervical or lumbosacral radiculopathy who were evaluated with both an EMG and a spine MRI within 2 months of each other. Among these patients, 55% had an EMG abnormality and 57% had an MRI abnormality that correlated with the clinically estimated level of radiculopathy. The two studies agreed in a majority (60%) of patients, with both normal in 11 and both abnormal in 17; however, only one study was abnormal in a significant minority (40%), suggesting that the two studies remain complementary diagnostic modalities. The agreement was higher in patients with abnormal findings on neurologic examination, underscoring the difficulty of confirming the diagnosis in mild radiculopathy. © 1999 John Wiley & Sons, Inc. Muscle Nerve 22: 151–155, 1999

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Section: Discussionmentioning

confidence: 80%

Electromyography and magnetic resonance imaging in the evaluation of radiculopathy

et al. 1999

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“…Since the first report of spontaneous regression of a herniated cervical disc by Krieger andManiker in 1992 ( Krieger andManiker, 1992 ), several other authors have also reported this rare phenomenon (Gurkanlar et al, 2006;Mochida et al, 1998 ). Usually, patients with myelopathy, a condition which is more severe than radiculopathy, are impatient for their neurological deficits to resolve.…”

Section: Discussionmentioning

confidence: 99%

“…However, there have been fewer reports of spontaneous regression of cervical disc herniation (CDH) (Krieger and Maniker, 1992;Song et al, 1999), especially ones confirmed by magnetic resonance imaging (MRI) (Westmark et al, 1997;Gurkanlar et al, 2006). Recently, a patient with CDH attending our hospital experienced this exceptional condition after 1.5 months of conservative treatment.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous resolution of a herniated fragment cervical disc

Mete¹,

Savran²,

Özer³

et al. 2011

jecm

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ARTICLE INFO ABSTRACTAlthough the spontaneous resolution of herniated nucleus pulposus is a well known phenomenon 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 herniated 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.

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“…CT 6,17) or MRI [11][12][13] demonstrations of the gradual regression or disappearance of herniated intervertebral discs without surgical intervention have been reported. In addition, regression of a herniated disc has been described at different sites and with various clinical symptoms, including cervical radiculopathy and myelopathy, thoracic myelopathy and lumbar radiculopathy.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Regression of a Large Lumbar Disc Extrusion

Ryu

Kim

2010

J Korean Neurosurg Soc

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J Korean Neurosurg Soc 48 : [285][286][287] 2010 Although the spontaneous disappearance or decrease in size of a herniated disc is well known, that of a large extruded disc has rarely been reported. This paper reports a case of a spontaneous regression of a large lumbar disc extrusion. The disc regressed spontaneously with clinical improvement and was documented on a follow up MRI study 6 months later. The literature is reviewed and the possible mechanisms of spontaneous disc regression are discussed.

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MRI-documented regression of a herniated cervical nucleus pulposus: A case report

Cited by 27 publications

References 2 publications

Electromyography and magnetic resonance imaging in the evaluation of radiculopathy

Electromyography and magnetic resonance imaging in the evaluation of radiculopathy

Spontaneous resolution of a herniated fragment cervical disc

Spontaneous Regression of a Large Lumbar Disc Extrusion

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