Journal of Neurological Sciences (Turkish) 2016 , Vol 33 , Num 4
Which is More Important for Surgical Indication? Radiology or Physical Examination: A Case Report
İbrahim Burak ATCI1,Okan TÜRK1,Veysel ANTAR1,Hakan YILMAZ2,Mehmet YAMAN1,Mustafa Yavuz SAMANCI1,Adem YILMAZ1
1İstanbul Eğitim ve Araştırma Hastanesi, Beyin ve sinir Cerrahisi, İstanbul, Turkey
2Şırnak Asker Hastanesi, Beyin ve sinir Cerrahisi, Şırnak, Turkey
The spontaneous regression of lumbar herniated disc is a common occurrence. However, regression of lumbar disc herniation at one level and occurrence of lumbar disc herniation at another level is not common. A 35 year old man presented with a lumbar disc extrusion at L2-3 level manifesting as a right L3 radiculopathy. Surgery was suggested to him but he refused. 3 months after onset, he suffered right L5 radiculopathy with a new lumbar disc extrusion at L4-5 level and there was a regression of previous L2-3 herniation. The present case suggest the importance of careful clinical examination and the importance of a new radiology accompanied by clinical findings before the surgery. Keywords : Spontaneous regression, Lumbar disc herniation, extrusion, radiculopathy