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意外康复：一例颈椎间盘突出症自发消退的报告

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

作者信息

Aljohani Sara, Alshanqiti Maryam, Alzahrani Moajeb

机构信息

Collage of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.

Department of Neurosurgery, King Fahad General Hospital, Madinah, SAU.

出版信息

Cureus. 2023 Jul 5;15(7):e41429. doi: 10.7759/cureus.41429. eCollection 2023 Jul.

DOI:10.7759/cureus.41429
PMID:37546141
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10403679/
Abstract

We describe a case in which a herniated cervical disc was compressing the spinal cord. Surgical treatment was offered based on the patient's symptoms and magnetic resonance imaging (MRI), but the patient declined. The patient's symptoms were relieved after 10 months of nonsurgical intervention, and a subsequent MRI revealed that the cervical disc herniation (CDH) had regressed. This phenomenon is well established in the lumbar region but remains rare in the cervical spine. We recommend opting for conservative management and frequent follow-ups for patients with CDH unless they present with a surgical urgency.

摘要

我们描述了一例颈椎间盘突出压迫脊髓的病例。根据患者症状及磁共振成像（MRI）结果，建议进行手术治疗，但患者拒绝。经过10个月的非手术干预，患者症状缓解，随后的MRI显示颈椎间盘突出（CDH）已消退。这种现象在腰椎区域已得到充分证实，但在颈椎仍较为罕见。我们建议，对于CDH患者，除非存在手术紧迫性，否则应选择保守治疗并定期随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7260/10403679/c597f6490637/cureus-0015-00000041429-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7260/10403679/c7771710c09f/cureus-0015-00000041429-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7260/10403679/c597f6490637/cureus-0015-00000041429-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7260/10403679/c7771710c09f/cureus-0015-00000041429-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7260/10403679/c597f6490637/cureus-0015-00000041429-i02.jpg

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