Spontaneous resorption in recurrent intradural lumbar disc herniation. Case report

Tsubasa Sakai, Takashi Tsuji, Takashi Asazuma, Yoshiyuki Yato, Osamu Matsubara, Koichi Nemoto

研究成果: Article

15 引用 (Scopus)

抄録

The authors report a case of spontaneous resorption of intradural disc material in a patient with recurrent intradural lumbar disc herniation and review magnetic resonance (MR) imaging and histopathological findings. Intradural lumbar disc herniation is rare, and most patients with this condition require surgical intervention due to severe leg pain and vesicorectal disturbance. In the present case, however, the recurrent intradural herniated mass had completely disappeared by 9 months after onset. Histological examination of intradural herniated disc tissue demonstrated infiltrated macrophages and angiogenesis within the herniated tissue, and Gd-enhanced MR images showed rim enhancement not only at the initial presentation, but also at recurrence. The authors conclude that when rim enhancement is present on Gd-enhanced MR images, there is a possibility of spontaneous resorption even though the herniated mass may be located within the intradural space. Moreover, when radiculopathy is controllable and cauda equina syndrome is absent, conservative therapy can be selected.

元の言語English
ページ(範囲)574-578
ページ数5
ジャーナルJournal of Neurosurgery: Spine
6
発行部数6
DOI
出版物ステータスPublished - 01-01-2007
外部発表Yes

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Magnetic Resonance Spectroscopy
Polyradiculopathy
Intervertebral Disc Displacement
Radiculopathy
Leg
Macrophages
Magnetic Resonance Imaging
Recurrence
Pain
Conservative Treatment

All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology

これを引用

Sakai, Tsubasa ; Tsuji, Takashi ; Asazuma, Takashi ; Yato, Yoshiyuki ; Matsubara, Osamu ; Nemoto, Koichi. / Spontaneous resorption in recurrent intradural lumbar disc herniation. Case report. :: Journal of Neurosurgery: Spine. 2007 ; 巻 6, 番号 6. pp. 574-578.
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Spontaneous resorption in recurrent intradural lumbar disc herniation. Case report. / Sakai, Tsubasa; Tsuji, Takashi; Asazuma, Takashi; Yato, Yoshiyuki; Matsubara, Osamu; Nemoto, Koichi.

:: Journal of Neurosurgery: Spine, 巻 6, 番号 6, 01.01.2007, p. 574-578.

研究成果: Article

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