Morandi X, Crovetto N, Carsin-Nicol B, Carsin M, Brassier G
Service de Neurochirurgie, CHRU Pontchaillou, Rennes.
Neurochirurgie. 1999 May;45(2):155-9.
We report a case of a 55-year-old man who experienced spontaneous resolution of a large herniated disc at T8-9. Spontaneous resolution of disc herniation is well known at the lumbar level. This case is a rare example of a large thoracic disc herniation diagnosed by CT and MRI which completely regressed six months after a medical treatment with complete disappearance of symptoms. The mechanism of resolution of a disc herniation is unclear and we discuss theoretical considerations. We emphasize the interest of conservative therapy in patients with thoracic disc herniation without neurological deficit.
我们报告一例55岁男性,其T8 - 9节段的巨大椎间盘突出症出现了自发缓解。椎间盘突出症在腰椎水平的自发缓解是广为人知的。该病例是一个罕见的例子,通过CT和MRI诊断为巨大胸椎间盘突出症,在接受药物治疗六个月后完全消退,症状完全消失。椎间盘突出症的缓解机制尚不清楚,我们讨论了理论上的考虑因素。我们强调对于无神经功能缺损的胸椎间盘突出症患者,保守治疗的益处。