Spontaneous Regression of Herniated Cervical Discs

Document Type : Original Article


The Department of Neurosurgery, Faculty of Medicine, Benha University* and Saudi German Hospital**


Abstract Background: Regression of herniated cervical discs is not as commonly reported as herniated lumbar discs, particularly in studies confirmed by magnetic resonance imaging (MRI). CDH can be treated either conservatively or surgically. Aim of Study: In our research, we are trying to show the effect of conservative management on the regression of herniated cervical discs proven by MRI. Patients and Methods: Six patients with neck pain and radiculopathy who were diagnosed with CDH on magnetic resonance imaging (MRI) were enrolled in the study for conservative treatment. Only one patient who had myelopathy but refused surgical management was also enrolled in our study. Results: Our study included six patients, 4 cases were female and 2 cases were male. The mean age of the patients was 37.5 years (range 32-45). One patient (16.66%) presented with myelopathy and five (83.33%) presented with neck pain and radiculopathy. Discs were paracentral in 4 cases (66.66%) and central in 2 cases (33.33%); only one case with a central disc bulge also had a cord signal. The most affected cervical discs were C5-C6 (3 cases = 50%), C4-C5 (2 cases = 33.33%), and C6-C7 (1 case = 16.66%). Conclusion: Conservative treatment of herniated cervical discs is a good option in patients without neurological deficits. Satisfactory clinical improvement can be achieved conserva-tively in a significant percentage of patients. Moreover, the decrease in size of the herniated cervical disc that causes relief of neural compression can be demonstrated by images in some cases.