意想不到的恢复:关于椎间盘的自发回归的报告
Sara Aljohani1, Maryam Alshanqiti2, Moajeb Alzahrani3,4
1Collage of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU.
Cureus
|August 7, 2023
概括
宫椎间盘 (CDH) 可以回归与保守的管理,避免手术. 这项案例研究强调了CDH的非手术缓解和自发解决的潜力,即使是脊髓压缩.
科学领域:
- 神经外科 神经外科
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
背景情况:
- 宫椎间盘 (CDH) 可能导致脊髓压缩.
- 对于有症状的CDH,通常会考虑进行手术.
- 腰椎间盘的自发回归已被记录,但在椎脊椎中很少见.
研究的目的:
- 报告一个罕见的宫椎间盘 (CDH) 自发回归病例.
- 评估CDH保守管理的有效性.
- 讨论关于CDH治疗对临床实践的影响.
主要方法:
- 一位患有症状CDH和脊髓压缩的患者的病例报告.
- 患者拒绝了手术干预.
- 保守的管理,包括密切的监测和后续.
- 连续磁共振成像 (MRI) 来评估磁盘回归.
主要成果:
- 经过10个月的保守治疗,患者的症状完全消失.
- 随访MRI证实宫椎间盘的显著回归.
- 没有需要手术干预.
结论:
- 保守的治疗可能会导致宫椎间盘的自发回归 (CDH).
- 对于CDH,应考虑使用非手术方法,特别是如果没有手术紧急情况.
- 建议对接受保守治疗的CDH患者进行频繁的随访.
相关概念视频
Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Degenerative Disc Disease I: Introduction
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
