Metamorphosis of a herniated lumbar disc
Compression of nerve roots by herniated intervertebral discs (IVD) is a major cause of lumbosacral radiculopathy and often causes problems in patient management. We present a case report of a patient whose initial pain was axial discogenic in nature, probably due to a fissure of the annulus fibrosus...
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| Language: | Russian |
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IMA-PRESS LLC
2023-10-01
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| Series: | Неврология, нейропсихиатрия, психосоматика |
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| Online Access: | https://nnp.ima-press.net/nnp/article/view/2104 |
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| author | A. I. Isaykin L. T. Akhmedzhanova S. R. Fedoseev V. D. Zagranichnaya |
| author_facet | A. I. Isaykin L. T. Akhmedzhanova S. R. Fedoseev V. D. Zagranichnaya |
| author_sort | A. I. Isaykin |
| collection | DOAJ |
| description | Compression of nerve roots by herniated intervertebral discs (IVD) is a major cause of lumbosacral radiculopathy and often causes problems in patient management. We present a case report of a patient whose initial pain was axial discogenic in nature, probably due to a fissure of the annulus fibrosus, and who later developed LIII–IV radiculopathy. The timing of formation of a sequestered IVD hernia was recorded on MRI. There was no prolonged gradual formation of IVD hernia (bulging, fissure, protrusion, extrusion/sequestration), an acute formation of disc herniation occurred. Conservative treatment, including nonpharmacological (McKenzie gymnastics, educational program) and drug treatment (nonsteroidal anti-inflammatory drugs, anticonvulsants), as well as minimally invasive measures (epidural administration of local anesthetics and glucorticoids), allowed rapid regression of clinical symptoms and improvement of functional and emotional status. MRI of the lumbar spine performed six months after onset showed complete resorption of the IVD hernia. The patient follows ergonomic recommendations and performs therapeutic exercises (Nordic walking); no deterioration was observed within 9 months. |
| format | Article |
| id | doaj-art-677f3187cd7a4a15ba9eaf405c233eee |
| institution | OA Journals |
| issn | 2074-2711 2310-1342 |
| language | Russian |
| publishDate | 2023-10-01 |
| publisher | IMA-PRESS LLC |
| record_format | Article |
| series | Неврология, нейропсихиатрия, психосоматика |
| spelling | doaj-art-677f3187cd7a4a15ba9eaf405c233eee2025-08-20T02:16:18ZrusIMA-PRESS LLCНеврология, нейропсихиатрия, психосоматика2074-27112310-13422023-10-01155465310.14412/2074-2711-2023-5-46-531425Metamorphosis of a herniated lumbar discA. I. Isaykin0L. T. Akhmedzhanova1S. R. Fedoseev2V. D. Zagranichnaya3N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)Compression of nerve roots by herniated intervertebral discs (IVD) is a major cause of lumbosacral radiculopathy and often causes problems in patient management. We present a case report of a patient whose initial pain was axial discogenic in nature, probably due to a fissure of the annulus fibrosus, and who later developed LIII–IV radiculopathy. The timing of formation of a sequestered IVD hernia was recorded on MRI. There was no prolonged gradual formation of IVD hernia (bulging, fissure, protrusion, extrusion/sequestration), an acute formation of disc herniation occurred. Conservative treatment, including nonpharmacological (McKenzie gymnastics, educational program) and drug treatment (nonsteroidal anti-inflammatory drugs, anticonvulsants), as well as minimally invasive measures (epidural administration of local anesthetics and glucorticoids), allowed rapid regression of clinical symptoms and improvement of functional and emotional status. MRI of the lumbar spine performed six months after onset showed complete resorption of the IVD hernia. The patient follows ergonomic recommendations and performs therapeutic exercises (Nordic walking); no deterioration was observed within 9 months.https://nnp.ima-press.net/nnp/article/view/2104disc herniationdiscogenic radiculopathydiscogenic painincidence of disc herniationregression of disc herniationpathogenesis of disc herniationnonsteroidal anti-inflammatory drugsaceclofenacconservative treatment of disc herniation |
| spellingShingle | A. I. Isaykin L. T. Akhmedzhanova S. R. Fedoseev V. D. Zagranichnaya Metamorphosis of a herniated lumbar disc Неврология, нейропсихиатрия, психосоматика disc herniation discogenic radiculopathy discogenic pain incidence of disc herniation regression of disc herniation pathogenesis of disc herniation nonsteroidal anti-inflammatory drugs aceclofenac conservative treatment of disc herniation |
| title | Metamorphosis of a herniated lumbar disc |
| title_full | Metamorphosis of a herniated lumbar disc |
| title_fullStr | Metamorphosis of a herniated lumbar disc |
| title_full_unstemmed | Metamorphosis of a herniated lumbar disc |
| title_short | Metamorphosis of a herniated lumbar disc |
| title_sort | metamorphosis of a herniated lumbar disc |
| topic | disc herniation discogenic radiculopathy discogenic pain incidence of disc herniation regression of disc herniation pathogenesis of disc herniation nonsteroidal anti-inflammatory drugs aceclofenac conservative treatment of disc herniation |
| url | https://nnp.ima-press.net/nnp/article/view/2104 |
| work_keys_str_mv | AT aiisaykin metamorphosisofaherniatedlumbardisc AT ltakhmedzhanova metamorphosisofaherniatedlumbardisc AT srfedoseev metamorphosisofaherniatedlumbardisc AT vdzagranichnaya metamorphosisofaherniatedlumbardisc |