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颈椎间盘突出症的自然消退：一例报告及文献综述。

Spontaneous regression of herniated cervical disc: A case report and literature review.

作者信息

Sharma Anil Kumar, Gandhoke Charandeep Singh, Syal Simran Kaur

机构信息

Department of Neurosurgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

Department of Pediatric Endocrinology, Bai Jerbai Wadia Hospital for Children, Mumbai, Maharashtra, India.

出版信息

Surg Neurol Int. 2021 Apr 8;12:141. doi: 10.25259/SNI_142_2021. eCollection 2021.

DOI:10.25259/SNI_142_2021
PMID:33948312
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8088536/
Abstract

BACKGROUND: We have reviewed 75 cases plus our own single instance of spontaneous regression of herniated cervical discs. METHODS: We searched PubMed and EMBASE databases (until September 2020) utilizing the following keywords; "spontaneous regression," "herniated cervical disc," and "Magnetic Resonance Imaging (MRI) studies." RESULTS: In the literature, we found 75 cases of herniated cervical discs which spontaneously regressed; to this, we added our case. Patients averaged 40.95 years of age. Discs were paracentral or foraminal in 84% of the cases, with most occurring at the C5-C6 (51%) and C6-C7 (36%) levels. Symptoms included neck pain/radiculopathy (91%) or myelopathy (9%). The average interval between initial presentation and spontaneous regression of herniated discs on MRI was 9.15 months. Interestingly, on MRI, extruded/sequestrated discs were more likely to undergo spontaneous regression versus protruding discs. CONCLUSION: Successive MRI studies documented the spontaneous regression of herniated cervical discs over an average of 9.15 months. Although this may prompt greater consideration for conservative treatment in younger patients without neurologic deficits, those with deficits should be considered for surgery.

摘要

背景：我们回顾了75例以及我们自己的1例颈椎间盘突出症自发消退的病例。 方法：我们利用以下关键词检索了PubMed和EMBASE数据库（截至2020年9月）；“自发消退”、“颈椎间盘突出症”和“磁共振成像（MRI）研究”。 结果：在文献中，我们发现75例颈椎间盘突出症自发消退的病例；在此基础上，我们增加了我们自己的病例。患者平均年龄为40.95岁。84%的病例中椎间盘位于中央旁或椎间孔处，大多数发生在C5-C6（51%）和C6-C7（36%）水平。症状包括颈部疼痛/神经根病（91%）或脊髓病（9%）。MRI上椎间盘突出症初次出现至自发消退的平均间隔时间为9.15个月。有趣的是，在MRI上，脱出/游离型椎间盘比突出型椎间盘更有可能自发消退。 结论：连续的MRI研究记录了颈椎间盘突出症平均在9.15个月内自发消退。虽然这可能促使在没有神经功能缺损的年轻患者中更多地考虑保守治疗，但有神经功能缺损的患者应考虑手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/6ec07c9f4dd2/SNI-12-141-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/e9a322dac61a/SNI-12-141-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/9b55f1872e67/SNI-12-141-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/2b08dc9d8ad3/SNI-12-141-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/4cd26ad111b1/SNI-12-141-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/d4ecc2e4f2fa/SNI-12-141-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/6ec07c9f4dd2/SNI-12-141-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/e9a322dac61a/SNI-12-141-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/9b55f1872e67/SNI-12-141-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/2b08dc9d8ad3/SNI-12-141-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/4cd26ad111b1/SNI-12-141-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/d4ecc2e4f2fa/SNI-12-141-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b883/8088536/6ec07c9f4dd2/SNI-12-141-g006.jpg

相似文献

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Spontaneous regression of herniated cervical disc: A case report and literature review.

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[2]
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[7]
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[8]
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[9]
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引用本文的文献

[1]
Unexpected Recovery: A Report on the Spontaneous Regression of a Herniated Cervical Disc.

Cureus. 2023-7-5

[2]
The imaging of cervical spondylotic myeloradiculopathy.

Skeletal Radiol. 2023-12

本文引用的文献

[1]
Spontaneous regression of cervical discs: Retrospective analysis of 14 cases.

Medicine (Baltimore). 2019-2

[2]
Spontaneous regression of cervical disc herniation: a case report.

Korean J Spine. 2014-12

[3]
Spontaneous resorption of sequestrated intervertebral disc herniation.

World Neurosurg. 2011-11-17

[4]
Spontaneous regression of herniated cervical disc fragments and its clinical significance.

Orthop Surg. 2010-2

[5]
Cervical disc, mimicking nerve sheath tumor, with rapid spontaneous recovery: a case report.

Eur Spine J. 2009-7

[6]
Spontaneous regression of cervical disc herniations.

Minim Invasive Neurosurg. 2006-6

[7]
Determinants of spontaneous resorption of intervertebral disc herniations.

Spine (Phila Pa 1976). 2006-5-15

[8]
Spontaneous regression of herniated cervical disc.

Spine J. 2003

[9]
Spontaneous production of monocyte chemoattractant protein-1 and interleukin-8 by the human lumbar intervertebral disc.

Spine (Phila Pa 1976). 2002-7-1

[10]
The spontaneous resorption of herniated cervical discs.

J Clin Neurosci. 2001-11

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