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Resorption of upwardly displaced lumbar disk herniation after nonsurgical treatment: A case report

BACKGROUND: The spontaneous resorption of lumbar disk herniations (LDHs) has been widely reported. However, the majority of these reports analyze the resorption of LDHs that were displaced backwards or downwards. There have been few reports on the spontaneous resorption of upwardly displaced L4/5 LD...

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Autores principales: Wang, Yi, Liao, Shi-Chuan, Dai, Guo-Gang, Jiang, Ling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559678/
https://www.ncbi.nlm.nih.gov/pubmed/33083425
http://dx.doi.org/10.12998/wjcc.v8.i19.4609
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author Wang, Yi
Liao, Shi-Chuan
Dai, Guo-Gang
Jiang, Ling
author_facet Wang, Yi
Liao, Shi-Chuan
Dai, Guo-Gang
Jiang, Ling
author_sort Wang, Yi
collection PubMed
description BACKGROUND: The spontaneous resorption of lumbar disk herniations (LDHs) has been widely reported. However, the majority of these reports analyze the resorption of LDHs that were displaced backwards or downwards. There have been few reports on the spontaneous resorption of upwardly displaced L4/5 LDH that has caused femoral nerve symptoms. CASE SUMMARY: A 55-year-old woman presented to our hospital with acute pain in her left leg. She had been suffering from recurrent lower back pain for approximately 1 year and began to feel pain accompanied with numbness at the anterior aspect of her left leg 7 d previously. On examination, a typical L4 nerve stimulation was noted. An upwardly displaced LDH at the L4/5 level was revealed by magnetic resonance imaging. The patient attained complete relief of her symptoms after 10 wk of nonsurgical treatment and the upwardly displaced herniation almost entirely disappeared. There was no recurrence during a follow-up of 2 years. CONCLUSION: Clinicians should be aware that the nerves disturbed by LDHs vary according to the direction of the herniations and the probable resorption of upwardly displaced LDHs should be considered before making a decision on surgery.
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spelling pubmed-75596782020-10-19 Resorption of upwardly displaced lumbar disk herniation after nonsurgical treatment: A case report Wang, Yi Liao, Shi-Chuan Dai, Guo-Gang Jiang, Ling World J Clin Cases Case Report BACKGROUND: The spontaneous resorption of lumbar disk herniations (LDHs) has been widely reported. However, the majority of these reports analyze the resorption of LDHs that were displaced backwards or downwards. There have been few reports on the spontaneous resorption of upwardly displaced L4/5 LDH that has caused femoral nerve symptoms. CASE SUMMARY: A 55-year-old woman presented to our hospital with acute pain in her left leg. She had been suffering from recurrent lower back pain for approximately 1 year and began to feel pain accompanied with numbness at the anterior aspect of her left leg 7 d previously. On examination, a typical L4 nerve stimulation was noted. An upwardly displaced LDH at the L4/5 level was revealed by magnetic resonance imaging. The patient attained complete relief of her symptoms after 10 wk of nonsurgical treatment and the upwardly displaced herniation almost entirely disappeared. There was no recurrence during a follow-up of 2 years. CONCLUSION: Clinicians should be aware that the nerves disturbed by LDHs vary according to the direction of the herniations and the probable resorption of upwardly displaced LDHs should be considered before making a decision on surgery. Baishideng Publishing Group Inc 2020-10-06 2020-10-06 /pmc/articles/PMC7559678/ /pubmed/33083425 http://dx.doi.org/10.12998/wjcc.v8.i19.4609 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.
spellingShingle Case Report
Wang, Yi
Liao, Shi-Chuan
Dai, Guo-Gang
Jiang, Ling
Resorption of upwardly displaced lumbar disk herniation after nonsurgical treatment: A case report
title Resorption of upwardly displaced lumbar disk herniation after nonsurgical treatment: A case report
title_full Resorption of upwardly displaced lumbar disk herniation after nonsurgical treatment: A case report
title_fullStr Resorption of upwardly displaced lumbar disk herniation after nonsurgical treatment: A case report
title_full_unstemmed Resorption of upwardly displaced lumbar disk herniation after nonsurgical treatment: A case report
title_short Resorption of upwardly displaced lumbar disk herniation after nonsurgical treatment: A case report
title_sort resorption of upwardly displaced lumbar disk herniation after nonsurgical treatment: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7559678/
https://www.ncbi.nlm.nih.gov/pubmed/33083425
http://dx.doi.org/10.12998/wjcc.v8.i19.4609
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