Spontaneous regression of a large sequestered lumbar disc herniation: a case report and literature review

Lumbar disc herniation is a common disorder in adults that is accompanied by lower back and radicular pain. A 32-year-old man visited our clinic with 1-week history of persistent lower back pain and weakness in his right big toe. Magnetic resonance imaging (MRI) of his lumbar spine revealed herniate...

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Autores principales:	Chengxiang Hu, Baocheng Lin, Zhixing Li, Xiaozhuan Chen, Kun Gao
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/54ea9c8e17ec49e195c4053536403473
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spelling	oai:doaj.org-article:54ea9c8e17ec49e195c40535364034732021-12-02T03:03:50ZSpontaneous regression of a large sequestered lumbar disc herniation: a case report and literature review1473-230010.1177/03000605211058987https://doaj.org/article/54ea9c8e17ec49e195c40535364034732021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211058987https://doaj.org/toc/1473-2300Lumbar disc herniation is a common disorder in adults that is accompanied by lower back and radicular pain. A 32-year-old man visited our clinic with 1-week history of persistent lower back pain and weakness in his right big toe. Magnetic resonance imaging (MRI) of his lumbar spine revealed herniated discs at L3/L4, L5/S1 and L4/L5, where a right-sided intraspinal mass lesion deep to the L4 vertebral body was causing compression of the nerve root. The patient underwent conservative treatment and reported no symptoms referrable to his back or leg 4 months later. Follow-up MRI showed no herniation of the nucleus pulposus at the L4/L5 level or lesion deep to the vertebral body of L4, whereas no changes had occurred to the status of the herniated L3/L4 and L5/S1 discs. The present case and a literature review show that a sequestered lumbar disc herniation can regress within a relatively short timeframe without surgery. The authors emphasise the utility of conservative therapy for patients who do not have a definitive surgical indication.Chengxiang HuBaocheng LinZhixing LiXiaozhuan ChenKun GaoSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Chengxiang Hu Baocheng Lin Zhixing Li Xiaozhuan Chen Kun Gao Spontaneous regression of a large sequestered lumbar disc herniation: a case report and literature review
description	Lumbar disc herniation is a common disorder in adults that is accompanied by lower back and radicular pain. A 32-year-old man visited our clinic with 1-week history of persistent lower back pain and weakness in his right big toe. Magnetic resonance imaging (MRI) of his lumbar spine revealed herniated discs at L3/L4, L5/S1 and L4/L5, where a right-sided intraspinal mass lesion deep to the L4 vertebral body was causing compression of the nerve root. The patient underwent conservative treatment and reported no symptoms referrable to his back or leg 4 months later. Follow-up MRI showed no herniation of the nucleus pulposus at the L4/L5 level or lesion deep to the vertebral body of L4, whereas no changes had occurred to the status of the herniated L3/L4 and L5/S1 discs. The present case and a literature review show that a sequestered lumbar disc herniation can regress within a relatively short timeframe without surgery. The authors emphasise the utility of conservative therapy for patients who do not have a definitive surgical indication.
format	article
author	Chengxiang Hu Baocheng Lin Zhixing Li Xiaozhuan Chen Kun Gao
author_facet	Chengxiang Hu Baocheng Lin Zhixing Li Xiaozhuan Chen Kun Gao
author_sort	Chengxiang Hu
title	Spontaneous regression of a large sequestered lumbar disc herniation: a case report and literature review
title_short	Spontaneous regression of a large sequestered lumbar disc herniation: a case report and literature review
title_full	Spontaneous regression of a large sequestered lumbar disc herniation: a case report and literature review
title_fullStr	Spontaneous regression of a large sequestered lumbar disc herniation: a case report and literature review
title_full_unstemmed	Spontaneous regression of a large sequestered lumbar disc herniation: a case report and literature review
title_sort	spontaneous regression of a large sequestered lumbar disc herniation: a case report and literature review
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/54ea9c8e17ec49e195c4053536403473
work_keys_str_mv	AT chengxianghu spontaneousregressionofalargesequesteredlumbardischerniationacasereportandliteraturereview AT baochenglin spontaneousregressionofalargesequesteredlumbardischerniationacasereportandliteraturereview AT zhixingli spontaneousregressionofalargesequesteredlumbardischerniationacasereportandliteraturereview AT xiaozhuanchen spontaneousregressionofalargesequesteredlumbardischerniationacasereportandliteraturereview AT kungao spontaneousregressionofalargesequesteredlumbardischerniationacasereportandliteraturereview
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Spontaneous regression of a large sequestered lumbar disc herniation: a case report and literature review

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