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Spontaneous Regression Of Herniated Nucleus Pulposus

Teplick & Haskin, 1985Other/Unknown

American Journal of Roentgenology 145(2): 1985; 371-376

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Abstract

Spontaneous regression of herniated nucleus pulposus has not been previously documented. Reported here are 11 patients in whom there was unequivocal regression or disappearance of a herniated lumbar disc on follow-up computed tomography (CT) study. Two patients with herniated discs were without symptoms. In the 9 patients with symptoms, those attributed to the original herniation disappeared or were diminished in all cases. The mechanism of regression of a disc herniation is unknown. Whether or not regression of herniated disc is a frequent occurrence in patients who recover with conservative therapy should be investigated by more frequent use of follow-up CT scans.

Case Details

Clinical Characteristics

Two patients with herniated discs were without symptoms. In the 9 patients with symptoms, those attributed to the original herniation disappeared or were diminished in all cases.

Remission Characteristics

Unequivocal regression or disappearance of a herniated lumbar disc on follow-up computed tomography (CT) study

Treatment & Mechanisms

Proposed Remission Mechanisms

The mechanism of regression of a disc herniation is unknown.

Clinical Treatment

Conservative therapy

Additional Notes

Whether or not regression of herniated disc is a frequent occurrence in patients who recover with conservative therapy should be investigated by more frequent use of follow-up CT scans.