Minim Invasive Neurosurg 2006; 49(3): 179-183
DOI: 10.1055/s-2006-932194
Original Article
© Georg Thieme Verlag Stuttgart · New York

Spontaneous Regression of Cervical Disc Herniations

D.  Gurkanlar1 , E.  Yucel2 , U.  Er3 , S.  Keskil4
  • 1Department of Neurosurgery, Akderiz University, Antalya, Turkey
  • 2Department of Neurosurgery, Zonguldak County Hospital, Zonguldak, Turkey
  • 3Department of Neurosurgery, SSK Social Security Hospital, Ankara, Turkey
  • 4Department of Neurosurgery, Bayendar Medical Center, Ankara, Turkey
Further Information

Publication History

Publication Date:
18 July 2006 (online)

Abstract

The spontaneous regression of cervical disc herniations is a rare occurrence. Six herniated cervical discs that had regressed spontaneously are presented. All radiological disc regressions correlated well with clinical improvements. We want to underscore the potential for regression that should be considered in the evaluation and management of any patient with a herniated cervical disc.

References

  • 1 Guinto F G, Hashim H, Stumer M. CT demonstration of disc regression after conservative therapy.  AJNR. 1984;  5 632-633
  • 2 Keskil S, Ayberk G, Evliyaoglu C, Kızartıcı T, Yücel E, Anbarcı H. Spontaneous resolution of “protruded” lumbar discs.  Minim Invas Neurosurg. 2004;  47 226-229
  • 3 Komori H, Okawa A, Haro H. et al . Contrast-enhanced magnetic resonance imaging in conservative management of lumbar disc herniation.  Spine. 1998;  23 67-73
  • 4 Komori H, Shinomiya K, Nakai O. et al . The natural history of a herniated nucleus pulposus with radiculopathy.  Spine. 1996;  21 225-229
  • 5 Teplick J G, Haskin M E. Spontaneous regression of herniated nucleus pulposus.  AJR. 1985;  145 371-375
  • 6 Kobayashi N, Asamoto S, Doi H, Ikeda Y, Matusmoto K. Spontaneous regression of herniated cervical disc.  Spine J. 2003;  3 171-173
  • 7 Krieger A J, Maniker A H. MRI-documented regression of a herniated cervical nucleus pulposus: a case report.  Surg Neurol. 1992;  37 457-459
  • 8 Mochida K, Komori H, Okawa A. et al . Regression of cervical herniation observed on magnetic resonance images.  Spine. 1998;  23 990-997
  • 9 Reddy P K, Sathyanarayana S, Nanda A. MRI-documented spontaneous regression of cervical disc herniation. A case report and review of the literature.  La State Med Soc. 2003;  155 97-98
  • 10 Saal J S, Saal J A, Yurth E F. Nonoperative management of herniated cervical intervertebral disc with radiculopathy.  Spine. 1996;  21 1877-1883
  • 11 Song J H, Park H K, Shin K M. Spontaneous regression of a herniated cervical disc in a patient with myelopathy. Case report.  J Neurosurg (Spine 1). 1999;  90 138-140
  • 12 Vinas F C, Wilner H, Rengachary S. The spontaneous resorption of herniated cervical discs.  J Clin Neurosci. 2001;  8 542-546
  • 13 Westmark R M, Westmark K D, Sonntag V KH. Disappearing cervical disc. Case report.  J Neurosurg. 1997;  86 289-290
  • 14 Ellenberg M, Reina N, Ross M, Chorodoff G, Honet J C, Gross N. Regression of herniated nucleus pulposus: two patients with lumbar radiculopathy.  Arch Phys Med Rehab. 1989;  70 842-844
  • 15 Miller S, Casden A M. Spontaneous regression of a herniated disc. A case report with a four year follow-up.  Bul Hosp Joint Dis. 1998;  57 99-101
  • 16 Weber H. Lumbar disc herniation. A controlled, prospective study with ten years of observation.  Spine. 1983;  8 131-140
  • 17 Burke J G, Watson R W, McCormack D. et al . Spontaneous production of monocyte chemoattractant protein-1 and interleukin-8 by the human lumbar intervertebral disc.  Spine. 2002;  27 1402-1407
  • 18 Haro K, Shinomiya K, Komori H. et al . Upregulated expression of chemokines in herniated nucleus pulposus resorption.  Spine. 1996;  21 1647-1652
  • 19 Hirabayashi S, Kumano K, Tsuiki T, Eguchi M, Ikeda S. A dorsally displaced free fragment of lumbar disc herniation and its interesting histologic findings. A case report.  Spine. 1990;  15 1231-1233
  • 20 Minamide A, Hashizume H, Yoshida M. et al . Effects of basic fibroblast growth factor on spontaneous resorption of herniated intervertebral discs.  Spine. 1999;  24 940-945

Prof. Dr. Semih Keskil,M.D., Ph.D. 

Fethiye Sokak No: 4/6

Gazi Osman Pasa

06700 Ankara

Turkey

Phone: +90/532/615/8422

Fax: +90/318/225/2819

Email: sk06-k@tr.net

    >