Extruded Disc: Urgent Surgery or Shall We Wait a Bit? A Case Report

Öz

The most common cause of low back pain is lumbar disc herniation, and patients can usually return to their normal lives with conservative approaches. Although spontaneous regression is a clinical condition described in the literature in lumbar disc herniation, the underlying mechanism and time of occurrence have not yet been fully elucidated. In this report, a case with almost complete regression in the radiological image of an extruded hernia in the lumbar region after 3 months of conservative treatment is reported. Although surgical operation is considered as the primary treatment option in patients with extruded disc herniation with neurological deficits, it is important that the radiological and clinical recovery is rapid and close to complete in this case, in which it is emphasized that conservative treatment can also be a solution for the patients.

Anahtar Kelimeler

• Magnetic Resonance Imaging
• Extruded Disc Herniation
• Spontaneous Regression

Ekstrüde Disk: Hemen Cerrahi Mi, Biraz Bekleyelim Mi? Bir Olgu Sunumu

Öz

Bel ağrısının en sık sebebi lomber disk hernisi olup hastalar genellikle konservatif yaklaşımlar ile normal yaşantılarına dönebilirler. Spontan regresyon, lomber disk hernisinde literatürde tanımlanmış bir klinik durum olmasına karşılık, altta yatan mekanizma ve gerçekleşme zamanı henüz tam olarak aydınlatılamamıştır. Bu sunuda, lomber bölgedeki ektrüde herninin 3 aylık konservatif tedavi sonunda, radyolojik görüntüsünde tama yakın regresyon gösteren bir olgu bildirilmektedir. Nörolojik defisiti olan ekstrüde disk hernili hastalarda cerrahi operasyon öncelikli tedavi seçeneği olarak düşünülmekle beraber, konservatif tedavinin de hastalar için çözüm olabileceğinin altını çizildiği bu olguda, radyolojik ve klinik iyileşmenin hızlı ve tama yakın olması önem arzetmektedir.

Anahtar Kelimeler

• Manyetik Rezonans Görüntüleme
• spontan regresyon
• ektrüde disk hernisi

Kaynakça

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