Journal of Neurology Research, ISSN 1923-2845 print, 1923-2853 online, Open Access
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Case Report

Volume 15, Number 2, March 2025, pages 87-92

Implementation of Platelet-Rich Plasma in Regeneration of Spinal Nerve Affected by Symptomatic Disc Herniation

Figures

↓  Figure 1. MRI examination of case 1. Degeneration of the discs, Pfirrmann grade IV at L3-L4, L4-L5 levels with foraminal disc herniation (yellow arrow) at L4-L5 level on the left and L4 spinal nerve’s ganglion bulging (red arrow) due to inflammation. Subarticular stenosis. MRI: magnetic resonance imaging.
Figure 1.
↓  Figure 2. MRI examination of case 2. Degeneration of the discs, Pfirrmann grade IV at L4-L5 (3.6 mm), L5-S1 (8 mm) levels with disc herniation (red arrow). L5-S1 herniated disc injured L5, S1 spinal nerves (yellow arrow) on the left. Secondary stenosis of the spinal canal. MRI: magnetic resonance imaging.
Figure 2.
↓  Figure 3. (a) Ultrasound-guided foraminal injection at L4-L5 level. (b) Fluoroscopy-guided epidural retrodiscal injection at L5-S1 level. Figure 3.

Table

↓  Table 1. Results of Treatment Effectiveness According to Scales
 
Cases VAS mMacNub ODI Nurick
Upon admission Upon discharge Upon admission Upon discharge Upon admission Upon discharge
mMacNub: modified MacNab; ODI: Oswestry disability index; VAS: visual analogue scale.
Case 1 9 0 Excellent 98% 12% 4 1
Case 2 8 2 Excellent 80% 22% 4 1