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286935

Spontaneous Regression of Herniated Cervical Discs

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Regression of herniated cervical discs is not as commonly reported as herniated lumbar discs, particularly in studies confirmed by magnetic resonance imaging (MRI). CDH can be treated either conservatively or surgically. Aim of Study: In our research, we are trying to show the effect of conservative management on the regression of herniated cervical discs proven by MRI. Patients and Methods: Six patients with neck pain and radiculopathy who were diagnosed with CDH on magnetic resonance imaging (MRI) were enrolled in the study for conservative treatment. Only one patient who had myelopathy but refused surgical management was also enrolled in our study. Results: Our study included six patients, 4 cases were female and 2 cases were male. The mean age of the patients was 37.5 years (range 32-45). One patient (16.66%) presented with myelopathy and five (83.33%) presented with neck pain and radiculopathy. Discs were paracentral in 4 cases (66.66%) and central in 2 cases (33.33%); only one case with a central disc bulge also had a cord signal. The most affected cervical discs were C5-C6 (3 cases = 50%), C4-C5 (2 cases = 33.33%), and C6-C7 (1 case = 16.66%). Conclusion: Conservative treatment of herniated cervical discs is a good option in patients without neurological deficits. Satisfactory clinical improvement can be achieved conserva-tively in a significant percentage of patients. Moreover, the decrease in size of the herniated cervical disc that causes relief of neural compression can be demonstrated by images in some cases.

DOI

10.21608/mjcu.2022.286935

Keywords

Cervical disc herniation, spontaneous regression, conservative management

Authors

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MOHAMMED ADAWI, M.D.;

Last Name

MOHAMMED HASSANIN, M.D.

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First Name

MOHAMED

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S. OSMAN, M.D.

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Affiliation

The Department of Neurosurgery, Faculty of Medicine, Benha University* and Saudi German Hospital**

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Volume

90

Article Issue

12

Related Issue

39806

Issue Date

2022-12-01

Receive Date

2023-02-22

Publish Date

2022-12-01

Page Start

2,033

Page End

2,038

Print ISSN

0045-3803

Online ISSN

2536-9806

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https://mjcu.journals.ekb.eg/article_286935.html

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https://mjcu.journals.ekb.eg/service?article_code=286935

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286,935

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Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Spontaneous Regression of Herniated Cervical Discs

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Article

Created At

30 Dec 2024