{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:42:15Z","timestamp":1762508535546},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nMost lumbar disc herniations can be successfully treated conservatively. However, massive lumbar disc herniations are often treated surgically to avoid permanent cauda equina syndromes\/neurological deficits and potential litigation. Nevertheless, here, we present a 51-year-old female who refused lumbar surgery due to coronavirus disease 2019 (COVID-19) and sustained a full spontaneous recovery without surgical intervention.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 51-year-old female presented with a massive lumbar disc herniation at the L5S1 level. Despite refusing surgery for fear of getting COVID-19, she spontaneously neurologically improved without any residual neurological or radiographic sequelae.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nAlthough the vast majority of patients with massive lumbar disc herniations are managed surgically, there are rare instances in which nonoperative management may be successful.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_491_2021","type":"journal-article","created":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T13:16:35Z","timestamp":1626700595000},"page":"352","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Spontaneous and rapid resolution of a massive lumbar disc herniation"],"prefix":"10.25259","volume":"12","author":[{"given":"Dinesh","family":"Naidoo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,7,19]]},"reference":[{"key":"10.25259\/SNI_491_2021\/ref-1","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1308\/003588410X12518836438840","article-title":"Conservatively treated massive prolapsed discs: A 7-year follow-up","volume":"92","author":"Benson","year":"2010","journal-title":"Ann R Coll Surg Engl"},{"key":"10.25259\/SNI_491_2021\/ref-2","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1016\/S1726-4901(09)70449-6","article-title":"Spontaneous regression of lumbar herniated disc","volume":"72","author":"Chang","year":"2009","journal-title":"J Chin Med Assoc"},{"key":"10.25259\/SNI_491_2021\/ref-3","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1302\/0301-620X.89B6.18712","article-title":"Observations on the natural history of massive lumbar disc herniation","volume":"89","author":"Cribb","year":"2007","journal-title":"J Bone Joint Surg Br"},{"key":"10.25259\/SNI_491_2021\/ref-4","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1007\/s00586-010-1668-3","article-title":"Cauda equina syndrome: A review of the current clinical and medico-legal position","volume":"20","author":"Gardner","year":"2011","journal-title":"Eur Spine J"},{"key":"10.25259\/SNI_491_2021\/ref-5","first-page":"632","article-title":"CT demonstration of disk regression after conservative therapy","volume":"5","author":"Guinto","year":"1984","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.25259\/SNI_491_2021\/ref-6","first-page":"381","article-title":"Resorption of massive lumbar disc herniation on MRI treated with epidural steroid injection: A retrospective study of 28 cases","volume":"19","author":"Hong","year":"2016","journal-title":"Pain Physician"},{"key":"10.25259\/SNI_491_2021\/ref-7","doi-asserted-by":"crossref","first-page":"244","DOI":"10.4103\/0019-5413.111505","article-title":"Massive lumbar disc herniation with complete dural sac stenosis","volume":"47","author":"Jeon","year":"2013","journal-title":"Indian J Orthop"},{"key":"10.25259\/SNI_491_2021\/ref-8","first-page":"58","article-title":"Delayed spontaneous resorption of lumbar intervertebral disc herniation: A case report","volume":"23","author":"Jung","year":"2017","journal-title":"Altern Ther Health Med"},{"key":"10.25259\/SNI_491_2021\/ref-9","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.ajem.2019.158402","article-title":"Evaluation and management of cauda equina syndrome in the emergency department","volume":"38","author":"Long","year":"2020","journal-title":"Am J Emerg Med"},{"key":"10.25259\/SNI_491_2021\/ref-10","doi-asserted-by":"crossref","first-page":"583","DOI":"10.21037\/jss.2018.07.12","article-title":"An observation of massive lumbar disc prolapses","volume":"4","author":"Ying","year":"2018","journal-title":"J Spine Surg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/spontaneous-and-rapid-resolution-of-a-massive-lumbar-disc-herniation\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/spontaneous-and-rapid-resolution-of-a-massive-lumbar-disc-herniation\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,19]],"date-time":"2021-07-19T13:16:46Z","timestamp":1626700606000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/spontaneous-and-rapid-resolution-of-a-massive-lumbar-disc-herniation\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,19]]},"references-count":10,"alternative-id":["10.25259\/SNI_491_2021"],"URL":"https:\/\/doi.org\/10.25259\/sni_491_2021","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,19]]},"article-number":"352"}}