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Regression of lumbar disk herniation

https://doi.org/10.14412/2074-2711-2015-1-61-65

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Abstract

Compression of the spinal nerve root, giving rise to pain and sensory and motor disorders in the area of its innervation is the most vivid manifestation of herniated intervertebral disk. Different treatment modalities, including neurosurgery, for evolving these conditions are discussed. There has been recent evidence that spontaneous regression of disk herniation can regress. The paper describes a female patient with large lateralized disc extrusion that has caused compression of the nerve root S1, leading to obvious myotonic and radicular syndrome. Magnetic resonance imaging has shown that the clinical manifestations of discogenic radiculopathy, as well myotonic syndrome and morphological changes completely regressed 8 months later. The likely mechanism is inflammation-induced resorption of a large herniated disk fragment, which agrees with the data available in the literature. A decision to perform neurosurgery for which the patient had indications was made during her first consultation. After regression of discogenic radiculopathy, there was only moderate pain caused by musculoskeletal diseases (facet syndrome, piriformis syndrome) that were successfully eliminated by minimally invasive techniques. 

About the Authors

G. Yu Evzikov
Department of Nervous System Diseases and Neurosurgery; 11, Rossolimo St., Moscow 119021 A.Ya. Kozhevnikov Clinic of Nervous System Diseases, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia; 11, Rossolimo St., Moscow 119021
Russian Federation


A. I. Isaikin
Department of Nervous System Diseases and Neurosurgery; 11, Rossolimo St., Moscow 119021
Russian Federation


A. V. Kavelina
Department of Nervous System Diseases and Neurosurgery; 11, Rossolimo St., Moscow 119021
Russian Federation


E. V. Shashkova
A.Ya. Kozhevnikov Clinic of Nervous System Diseases, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia; 11, Rossolimo St., Moscow 119021
Russian Federation


N. N. Alipbekov
A.Ya. Kozhevnikov Clinic of Nervous System Diseases, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia, Moscow, Russia; 11, Rossolimo St., Moscow 119021
Russian Federation


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For citation:


Evzikov G.Y., Isaikin A.I., Kavelina A.V., Shashkova E.V., Alipbekov N.N. Regression of lumbar disk herniation. Neurology, Neuropsychiatry, Psychosomatics. 2015;7(1):61-65. (In Russ.) https://doi.org/10.14412/2074-2711-2015-1-61-65

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)