2,162 results match your criteria Arachnoiditis Imaging


Coccidioidal meningitis in non-AIDS patients. A case series at a Mexican neurological referral center.

Clin Neurol Neurosurg 2020 Jun 15;196:106011. Epub 2020 Jun 15.

Molecular Mycology Laboratory, Universidad Nacional Autónoma de México, Mexico.

Background: Coccidioidal meningitis is a life-threatening condition and a diagnostic challenge in cases of chronic meningitis. It is associated to severe complications, like basal arachnoiditis, hydrocephalus, and secondary vasculitis.

Objective: To present a 20-year retrospective clinical series of coccidioidal meningitis cases at a Mexican neurological referral center. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.106011DOI Listing

Spinal adhesive arachnoiditis mimicking sarcoid myelitis with nodular dural enhancement: A case report.

Mult Scler Relat Disord 2020 Jun 2;44:102257. Epub 2020 Jun 2.

Department of Neurology, Oregon Health & Science University, Portland, OR, USA; VA Portland Health Care System, Portland, OR, USA. Electronic address:

Spinal adhesive arachnoiditis (SAA) is a rare, but often devastating, cause of compressive myelopathy. We report a patient with SAA resulting in a longitudinally extensive T2-hyperintense spinal cord lesion with initial nodular pial and dural enhancement mimicking neurosarcoidosis. Neurologists should be aware of this entity, especially in patients who have pertinent risk factors, such as prior meningitis, spinal cord trauma, or surgery. Read More

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http://dx.doi.org/10.1016/j.msard.2020.102257DOI Listing

Long-term Outcomes of Patients With Fungal Infections Associated With Contaminated Methylprednisolone Injections.

Open Forum Infect Dis 2020 Jun 9;7(6):ofaa164. Epub 2020 May 9.

Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Background: The largest health care-associated infection outbreak in the United States occurred during 2012-2013. Following injection of contaminated methylprednisolone, 753 patients developed infection with a dematiaceous mold, . The long-term outcomes of these infections have not been described. Read More

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http://dx.doi.org/10.1093/ofid/ofaa164DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275232PMC

Compressive myelopathy secondary to posthemorragic arachnoiditis: Case report and literature review.

Clin Neurol Neurosurg 2020 May 26;196:105964. Epub 2020 May 26.

Department of Neurological Surgery, Hospital Universitario Ramón y Cajal, Madrid, Spain.

Background: Spinal arachnoiditis is an arachnoid inflammatory process frequently caused by infection or spinal surgery; there are different degrees of severity, including arachnoid thickening and severe adhesive lesions that can lead to the development of arachnoid cysts. Non-traumatic subarachnoid haemorrhage (ntSAH) is a relatively uncommon cause of arachnoiditis; further complication with spinal cord compression (SCC) is even more unusual.

Method: we describe a 70-year-old female, with SCC caused by arachnoid cysts. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.105964DOI Listing

Dark as night: Spelunking for spinal solitary fibrous tumors/hemangiopericytomas in the differential of T2 hypointensity.

J Clin Neurosci 2020 Jun 4. Epub 2020 Jun 4.

Department of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA; Department of Radiology, Mayo Clinic, Rochester MN, USA. Electronic address:

Spinal solitary fibrous tumor/hemangiopericytoma (SFT/HPC) is a rare mesenchymal malignancy. Radiographically, SFT/HPCs have a mutable appearance, with irregular borders, heterogeneous contrast enhancement, and variable but frequently hypointense T2 signal. We report a series of 5 neurosurgically managed spinal SFT/HPCs treated at our institution, with particular attention to 3 lesions demonstrating marked T2-hypointensity and differential diagnosis for the unusual finding of a "T2 dark" spinal lesion. Read More

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http://dx.doi.org/10.1016/j.jocn.2020.05.051DOI Listing

Syringomyelia as a delayed complication of lumbar-sacral adhesive arachnoiditis in Pott's disease.

BMJ Case Rep 2020 May 27;13(5). Epub 2020 May 27.

Department of General Medicine, Government Medical College and Hospital, Chandigarh, India.

Syringomyelia is the development of a fluid-filled cyst (syrinx) within the spinal cord and is an extremely rare chronic manifestation of tuberculosis. The syrinx so formed may expand over time, causing compression or destruction of spinal tracts and surrounding nerve roots. Development of syringomyelia in a patient of Pott's disease is particularly infrequent. Read More

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http://dx.doi.org/10.1136/bcr-2019-234032DOI Listing

Optic nerve sheath diameter ultrasonography for elevated intracranial pressure detection.

Ann Clin Transl Neurol 2020 May 7;7(5):865-868. Epub 2020 May 7.

Department of Neurology, The First Hospital of Jilin University, Changchun, China.

Ultrasonographically measured optic nerve sheath diameter measurement has become a common noninvasive approach for detecting elevated intracranial pressure. We present a case of aneurysmal subarachnoid hemorrhage with elevated intracranial pressure. Postoperative arachnoiditis developed, and lumbar puncture revealed low intracranial pressure. Read More

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http://dx.doi.org/10.1002/acn3.51054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261744PMC

A Case of Severe Cryptococcal Immune Reconstitution Inflammatory Syndrome Presenting with Brain and Intradural Abscesses in an HIV Patient.

Am J Trop Med Hyg 2020 Apr 27. Epub 2020 Apr 27.

Division of Infectious Diseases, Olive View - UCLA Medical Center, Sylmar, California.

Clinical worsening or new manifestation of cryptococcal disease following initiation of anti-retroviral therapy (ART) in an HIV patient is a hallmark of cryptococcal immune reconstitution inflammatory syndrome (C-IRIS). However, it can be difficult to distinguish IRIS from worsening or new infection. Here, we present a case of severe C-IRIS involving multiple cerebellar, spinal, and intradural abscesses and spinal arachnoiditis 7 months after ART initiation in an AIDS patient with uncertain prior ART compliance. Read More

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http://dx.doi.org/10.4269/ajtmh.20-0028DOI Listing

Syringomyelia in the Tethered Spinal Cords.

J Korean Neurosurg Soc 2020 May 27;63(3):338-341. Epub 2020 Apr 27.

Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea.

Cases of syringomyelia associated with spinal dysraphism are distinct from those associated with hindbrain herniation or arachnoiditis in terms of the suspected pathogenetic mechanism. The symptoms of terminal syringomyelia are difficult to differentiate from the symptoms caused by spinal dysraphism. Nonetheless, syringomyelia has important clinical implications, as it is an important sign of cord tethering. Read More

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http://dx.doi.org/10.3340/jkns.2020.0097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218206PMC

Recurrent arachnoid cysts secondary to spinal adhesive arachnoiditis successfully treated with a ventriculoperitoneal shunt.

Clin Neurol Neurosurg 2020 Jul 10;194:105835. Epub 2020 Apr 10.

Neurosurgery Department, Tulane/Ochsner Medical Centers, LA, USA. Electronic address:

Spinal adhesive arachnoiditis (SAA) with cyst formation secondary to infectious meningitis is a rare clinical entity. These cysts can compress the spinal cord and cause neurologic decline. We present a case of a patient who underwent resection for an intradural schwannoma which was complicated post-operatively by bacterial meningitis and development of several recurrent thoracic arachnoid cysts. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.105835DOI Listing
July 2020
1.248 Impact Factor

Minimally invasive foramen magnum durectomy and obexostomy for treatment of craniocervical junction-related syringomyelia in adults: case series and midterm follow-up.

J Neurosurg Spine 2020 Apr 17:1-10. Epub 2020 Apr 17.

1Department of Neurosurgery, Hospital das Clínicas of University of São Paulo Medical School, São Paulo.

Objective: Craniocervical junction-related syringomyelia (CCJS) is the most common form of syringomyelia. Approximately 30% of patients treated with foramen magnum decompression (FMD) will show persistence, recurrence, or progression of the syrinx. The authors present a pilot study with a new minimally invasive surgery technique targeting the pathophysiology of CCJS in adult patients. Read More

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http://dx.doi.org/10.3171/2020.2.SPINE2032DOI Listing

Multiple Intracranial Tuberculomas with an Intra-medullary Spinal Cord Tuberculoma in a Pediatric Patient.

Cureus 2020 Mar 12;12(3):e7248. Epub 2020 Mar 12.

Internal Medicine, The University of Texas Health Science Center/Christus Good Shepherd Medical Center, Longview, USA.

Central nervous system (CNS) tuberculosis (TB), caused by Mycobacterium tuberculosis (MT), is a severe form of TB, which presents as meningitis, cerebritis, abscesses, spinal tuberculous arachnoiditis, and rarely tuberculomas. CNS TB is prevalent in the underdeveloped or developing world and is common in malnourished, alcoholics, children, young adults, immunocompromised, and cancer patients. Intracranial tuberculomas (ICT) can present with symptoms and signs of focal neurological deficits with or without systemic manifestations. Read More

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http://dx.doi.org/10.7759/cureus.7248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152571PMC

Prolonged inflammation leads to ongoing damage after spinal cord injury.

PLoS One 2020 19;15(3):e0226584. Epub 2020 Mar 19.

Centers for Personalized Diagnostics and Immunotherapy, Vaccines and Virotherapy, Biodesign Institute, Arizona State University, Tempe, Arizona, United States of America.

The pathogenesis of spinal cord injury (SCI) remains poorly understood and treatment remains limited. Emerging evidence indicates that post-SCI inflammation is severe but the role of reactive astrogliosis not well understood given its implication in ongoing inflammation as damaging or neuroprotective. We have completed an extensive systematic study with MRI, histopathology, proteomics and ELISA analyses designed to further define the severe protracted and damaging inflammation after SCI in a rat model. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0226584PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081990PMC

Abnormalities in spinal cord ultrastructure in a rat model of post-traumatic syringomyelia.

Fluids Barriers CNS 2020 Feb 29;17(1):11. Epub 2020 Feb 29.

Faculty of Medicine and Health Sciences, 2 Technology Place, Macquarie University, Sydney, NSW, 2109, Australia.

Background: Syringomyelia is a serious complication of spinal cord trauma, occurring in approximately 28% of spinal cord injuries. Treatment options are limited and often produce unsatisfactory results. Post-traumatic syringomyelia (PTS) is presumably related to abnormalities of cerebrospinal fluid (CSF) and interstitial fluid hydrodynamics, but the exact mechanisms are unknown. Read More

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http://dx.doi.org/10.1186/s12987-020-0171-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049227PMC
February 2020

Lumbar arachnoiditis: Does imaging associate with clinical features?

Clin Neurol Neurosurg 2020 May 3;192:105717. Epub 2020 Feb 3.

The George Washington University School of Medicine and Health Sciences, 2300 I St. NW, Washington, DC, 20052, USA; Department of Radiology, The George Washington University Hospital, 900 23rd St. NW, Washington, DC, 20037, USA. Electronic address:

Objectives: Lumbar arachnoiditis is a rare and debilitating neurologic disorder with multiple etiologies and a spectrum of imaging and clinical characteristics. Prior reports have anecdotally claimed that no association exists between findings of arachnoiditis observed on magnetic resonance imaging (MRI) and those assessed clinically. The purpose of this study was to determine if MRI features of lumbar arachnoiditis associate with the clinical findings of the disorder. Read More

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http://dx.doi.org/10.1016/j.clineuro.2020.105717DOI Listing
May 2020
1.248 Impact Factor

Repeat epidural blood patch at the level of unintentional dural puncture and its neurologic complications: a case report.

JA Clin Rep 2019 Feb 28;5(1):14. Epub 2019 Feb 28.

Department of Anesthesiology, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Hamamatsu City, Shizuoka, Japan.

Background: Autologous epidural blood patch (AEBP) is effective for post-dural-puncture headache (PDPH). In some cases, repeat procedures are required for complete cure. In rare instances, severe adverse effects can occur. Read More

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http://dx.doi.org/10.1186/s40981-019-0232-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966726PMC
February 2019

Medical management of acute loss of vision in tuberculous meningitis: A case report.

J Clin Tuberc Other Mycobact Dis 2020 May 18;19:100145. Epub 2020 Jan 18.

Department of Internal Medicine, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.

Blindness and vision impairment are unpredictable complications of tuberculous meningitis (TBM) that are often unrecognized in the acute stages of illness due to inability to assess vision in patients with depressed levels of consciousness or confusion. We present a patient with definite TBM confirmed by positive Xpert MTB/RIF assay of cerebrospinal fluid (CSF) who developed binocular blindness two weeks after diagnosis and initiation of standard anti-tuberculosis treatment (ATT). Ophthalmological exam demonstrated complete bilateral abducens nerve palsies, impaired pupillary responses to light, normal optic discs, and visual acuity of hand motion only in each eye. Read More

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http://dx.doi.org/10.1016/j.jctube.2020.100145DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6992978PMC

Polyclonal lymphocytic infiltrate with arachnoiditis resulting from intrathecal stem cell transplantation.

Neuroradiol J 2020 Apr 3;33(2):174-178. Epub 2020 Feb 3.

Mayo Clinic, Department of Radiology, Division of Neuroradiology, Rochester, MN USA.

Stem cell treatment outside of studied and approved medical indications can have unforeseen adverse consequences. Here, we present a 74-year-old male that underwent such therapy. The patient presented to our institution with progressive lower extremity weakness and urinary incontinence. Read More

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http://dx.doi.org/10.1177/1971400920902451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7140295PMC

Successful Treatment of a Severe Vision-Threatening Paradoxical Tuberculous Reaction with Infliximab: First Pediatric Use.

Pediatr Infect Dis J 2020 04;39(4):e42-e45

From the Infectious Diseases Unit, The Royal Children's Hospital Melbourne, Victoria, Australia.

A 7-year-old girl with tuberculous (TB) meningitis developed optochiasmatic arachnoiditis, a vision-threatening paradoxical reaction, after starting TB treatment including adjunctive steroid therapy. She was treated with infliximab with complete recovery. This is the first report of the use of a tissue necrosis factor α inhibitor for the treatment of a severe paradoxical TB reaction in a child. Read More

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http://dx.doi.org/10.1097/INF.0000000000002578DOI Listing

Antisepsis for neuraxial procedures in Irish obstetric units and its possible impact on patient safety. A survey of national practice and associated complications.

Int J Obstet Anesth 2020 May 12;42:61-64. Epub 2019 Dec 12.

National Maternity Hospital, Dublin, Ireland.

Introduction: The Association of Anaesthetists' guidelines recommend 0.5% chlorhexidine gluconate for skin antisepsis before obstetric neuraxial procedures. In this national survey, we identified the practice of all 19 obstetric units in Ireland. Read More

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http://dx.doi.org/10.1016/j.ijoa.2019.12.001DOI Listing

Craniovertebral Junction Arachnoiditis: An Unusual Sequelae to Tuberculous Meningitis.

J Neurosci Rural Pract 2019 Oct 23;10(4):711-714. Epub 2019 Oct 23.

Department of Neurosurgery, National Institute of Mental Health and NeurosciencesBangalore, KarnatakaIndia.

Adhesive arachnoiditis at the craniovertebral junction should be suspected in patients with a history of meningitis having delayed onset gradually progressive tetra paresis. Patients can present after an asymptomatic interval of 2 to 20 years. Cardiac gated cine magnetic resonance imaging is useful for its diagnosis. Read More

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http://dx.doi.org/10.1055/s-0039-1700664DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906089PMC
October 2019

Complications and liability related to regional and neuraxial anesthesia.

Best Pract Res Clin Anaesthesiol 2019 Dec 19;33(4):487-497. Epub 2019 Jul 19.

Department of Anesthesiology, LSU Health Sciences Center, Room 656, 1542 Tulane Ave., New Orleans, LA, 70112, USA. Electronic address:

Regional anesthesia is responsible for approximately one-fifth of professional liability claims. The present investigation evaluated common and rare complications related to regional and neuraxial anesthesia, including postdural puncture headache, backache, transient neurological symptoms, inadvertent intrathecal injection, epidural hematoma and abscess, meningitis, arachnoiditis, postoperative urinary retention, local anesthetic systemic toxicity, and cardiac arrest. Regional anesthetic techniques are increasingly used in perioperative care of surgical patients for acute pain management and for chronic pain states. Read More

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http://dx.doi.org/10.1016/j.bpa.2019.07.007DOI Listing
December 2019

Ruptured dermoid cyst of the conus medullaris in the myelomeningocele sac revealed at the initial repair surgery.

Childs Nerv Syst 2020 May 28;36(5):1061-1065. Epub 2019 Nov 28.

Department of Neuropathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Background: Dermoid cysts in the myelomeningocele (MMC) site are thought to arise in a delayed fashion because of iatrogenic implantation of dermoid elements at the time of the initial repair surgery. However, there have been few reports on dermoid elements already present at birth.

Clinical Presentation: We report a patient, in whom dermoid cyst was located at dorsal aspect of the conus medullaris in the MMC sac. Read More

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http://dx.doi.org/10.1007/s00381-019-04428-1DOI Listing

Hyaluronidase in Neuroplasty: A Review.

Pain Physician 2019 11;22(6):555-560

The Helm Center for Pain Management.

Background: Neuroplasty, also known as percutaneous adhesiolysis, is an effective treatment for persistent axial and radicular pain.

Objectives: One issue of concern is whether hyaluronidase should be used when performing neuroplasty. The objective of this narrative review is to evaluate the current literature relating to hyaluronidase and its role in neuroplasty. Read More

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November 2019

Correction to: Arachnoiditis as an outcome factor for microvascular decompression in classical trigeminal neuralgia.

Acta Neurochir (Wien) 2020 Jan;162(1):221-222

University de Lyon 1, Lyon, France.

Figure 3 corrected. Read More

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http://dx.doi.org/10.1007/s00701-019-04130-wDOI Listing
January 2020

Natural History of Treated Subarachnoid Neurocysticercosis.

Am J Trop Med Hyg 2020 01;102(1):78-89

Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.

Subarachnoid neurocysticercosis (SUBNCC) is usually caused by an aberrant proliferative form of causing mass effect and arachnoiditis. Thirty of 34 SUBNCC patients were treated with extended cysticidal and anti-inflammatory regimens and followed up a median of 4.2 years posttreatment (range: 15 for ≥ 4 years, 20 ≥ 2 years, 26 > 1 year, and 3 < 1 year). Read More

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http://dx.doi.org/10.4269/ajtmh.19-0436DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6947806PMC
January 2020
1 Read

Minimally invasive asterional approach for microvascular decompression in trigeminal neuralgia.

Gac Med Mex 2019 ;155(Suppl 1):S56-S63

Health Regulatory Directorate, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, City of Mexico, Mexico.

Objective: Trigeminal neuralgia (TN) is a neuropathic disorder that can be treated surgically. This study aimed to present the surgical findings and the clinical outcomes of 26 patients with TN treated by minimally invasive asterional surgery.

Methods: Longitudinal descriptive study. Read More

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http://dx.doi.org/10.24875/GMM.M19000291DOI Listing
March 2020
1 Read

Arachnoiditis Ossificans of the Lumbosacral Spine.

Turk J Anaesthesiol Reanim 2019 Oct 15;47(5):427-428. Epub 2019 May 15.

Valley Anaesthesiology and Pain Consultants, Phoenix, AZ; University of Arizona College of Medicine-Phoenix, Department of Anesthesiology, Phoenix, AZ; Creighton University School of Medicine, Department of Anesthesiology, Omaha, USA.

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http://dx.doi.org/10.5152/TJAR.2019.63239DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6756303PMC
October 2019
1 Read

A two-level large-volume epidural blood patch protocol for spontaneous intracranial hypotension: retrospective analysis of risk and benefit.

Reg Anesth Pain Med 2019 Sep 20. Epub 2019 Sep 20.

Neurological Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, United States.

Background: We report a retrospective analysis of a two-level, variable-volume epidural blood patch (EBP) technique for the treatment of spontaneous intracranial hypotension (SIH).

Methods: Ninety-four patients with SIH underwent EBPs. Injectate volume was variable and guided by the onset of back pain, radiculopathy or symptoms referable to the EBP. Read More

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http://dx.doi.org/10.1136/rapm-2018-100158DOI Listing
September 2019
7 Reads

Intradural cauda equina Candida abscess presenting with hydrocephalus: case report.

J Neurosurg Spine 2019 Aug 30:1-4. Epub 2019 Aug 30.

1Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland.

Central nervous system (CNS) candida infections are often associated with a poor prognosis. Typically, CNS candidiasis presents as meningitis or microabscesses. Here, the authors report a patient with a challenging presentation of a CNS Candida infection as a discrete, large cauda equina abscess. Read More

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http://dx.doi.org/10.3171/2019.6.SPINE19271DOI Listing
August 2019
4 Reads

Safety and Efficacy of Syringoperitoneal Shunting with a Programmable Shunt Valve for Syringomyelia Associated with Extensive Spinal Adhesive Arachnoiditis: Technical Note.

World Neurosurg 2019 Dec 26;132:14-20. Epub 2019 Aug 26.

Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan. Electronic address:

Objective: Although syringomyelia associated with extensive spinal adhesive arachnoiditis (SAA) can be a progressive disease that has potentially devastating clinical consequences, its surgical resolution has remained poorly defined. The aim of the present study was to verify the safety and efficacy of syringoperitoneal shunting for syringomyelia associated with extensive SAA.

Methods: The present retrospective study included 15 patients who had undergone syringoperitoneal shunting with a programmable shunt valve for the diagnosis of syringomyelia associated with extensive SAA from October 2012 to June 2018. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.08.103DOI Listing
December 2019
1 Read

Central Nervous System Tuberculoma Complicated with Spinal Arachnoiditis in Immunocompetent Patient.

Open Access Maced J Med Sci 2019 Jun 30;7(12):2002-2005. Epub 2019 Jun 30.

Neurosurgery Departement Faculty of Medicine Udayana University, Sanglah Hospital Denpasar, Bali, Indonesia.

Background: Central nervous system (CNS) tuberculosis (TB) can manifest as meningitis, abscess, tuberculoma or other manifestations. CNS TB is a rare TB complication, and its diagnosis remains a challenge since it has clinical and imaging features that resemble other diseases. The antituberculosis treatment has a significant role in determining a patient's outcome and prevent complications and mortality. Read More

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http://dx.doi.org/10.3889/oamjms.2019.272DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684426PMC
June 2019
12 Reads

Cerebrospinal fluid biomarkers of inflammation in trigeminal neuralgia patients operated with microvascular decompression.

Pain 2019 11;160(11):2603-2611

Department of Medical Sciences, Chemical Chemistry, Uppsala University, Uppsala, Sweden.

Compression of the trigeminal root entry zone by a blood vessel can cause trigeminal neuralgia (TN). However, a neurovascular conflict does not explain all cases of TN, and TN can exist without a neurovascular contact. A common observation during microvascular decompression surgery to treat TN is arachnoiditis in the region of the trigeminal nerve. Read More

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http://dx.doi.org/10.1097/j.pain.0000000000001649DOI Listing
November 2019

Endoscopic-Assisted Spinal Arachnoiditis Adhesiolysis and Placement of a Spinal Cysto-Subarachnoid Shunt.

World Neurosurg 2019 Nov 27;131:43-46. Epub 2019 Jul 27.

Department of Neurosurgery, Wellington Regional Hospital, Capital and Coast District Health Board, Wellington, New Zealand. Electronic address:

Background: Spinal arachnoiditis and associated arachnoid adhesions can cause debilitating neurological symptoms due to nerve root and spinal cord compression or tethering. Adhesiolysis using a microscopic approach has traditionally been used for this condition. This procedure has been further refined in recent years with the use of flexible endoscopes. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.07.160DOI Listing
November 2019
2 Reads

[A case of tuberculous meningitis with pleural effusion as a manifestation of a paradoxical reaction during anti-tuberculosis therapy].

Rinsho Shinkeigaku 2019 Aug 23;59(8):541-544. Epub 2019 Jul 23.

Department of Respiratory Medicine, Seirei Mikatahara General Hospital.

We present a case of tuberculous meningitis (TBM), wherein pleural effusion developed as a manifestation of paradoxical reaction during anti-tuberculosis therapy. An 87-year-old diabetic man was referred to our clinic for fever and impaired consciousness. He did not obey vocal commands. Read More

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http://dx.doi.org/10.5692/clinicalneurol.cn-001309DOI Listing
August 2019
9 Reads

A Novel Technique Using Magnetic Resonance Imaging in the Supine and Prone Positions for Diagnosing Lumbar Adhesive Arachnoiditis: A Preliminary Study.

Pain Pract 2020 01 24;20(1):34-43. Epub 2019 Oct 24.

Department of Anesthesiology and Pain Relief Center, The University of Tokyo Hospital, Tokyo, Japan.

Background: Lumbar adhesive arachnoiditis is a debilitating neuropathic condition and is difficult to diagnose owing to lack of definitive diagnostic criteria. By focusing on the intrathecal mobility of nerve roots, we assessed whether useful diagnostic criteria could be established using MRI.

Methods: Seventeen patients with a high risk for lumbar adhesive arachnoiditis and 18 no-risk patients with chronic low back pain and/or leg pain participated in this study. Read More

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http://dx.doi.org/10.1111/papr.12822DOI Listing
January 2020
7 Reads

Central Nervous System Infections Due to Coccidioidomycosis.

J Fungi (Basel) 2019 Jun 28;5(3). Epub 2019 Jun 28.

Division of Infectious Diseases, Mayo Clinic in Arizona, Phoenix, AZ 85054, USA.

Coccidioidomycosis is a common infection in the western and southwestern United States as well as parts of Mexico and Central and South America and is due to the soil-dwelling fungi . Central nervous system (CNS) infection is an uncommon manifestation that is nearly always fatal if untreated. The presentation is subtle, commonly with headache and decreased mentation. Read More

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http://dx.doi.org/10.3390/jof5030054DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6787616PMC
June 2019
5 Reads

Comments on 'Ophthalmological manifestation in patients of tuberculous meningitis'.

QJM 2019 Jun 26. Epub 2019 Jun 26.

Assistant Professor Department of Pediatrics, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, Ambala.

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http://dx.doi.org/10.1093/qjmed/hcz159DOI Listing
June 2019
5 Reads

Arachnoiditis as an outcome factor for microvascular decompression in classical trigeminal neuralgia.

Acta Neurochir (Wien) 2019 08 25;161(8):1589-1598. Epub 2019 Jun 25.

University de Lyon 1, Lyon, France.

Background: Neurovascular conflict is considered a key element of classical trigeminal neuralgia (TN) and consequently, microvascular decompression (MVD) is an effective treatment. Nevertheless, failures of MVD are described by many authors. In some patients, the arachnoid membranes surrounding the trigeminal nerve and neighbouring vessels may be thickened and adhesive. Read More

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http://dx.doi.org/10.1007/s00701-019-03981-7DOI Listing
August 2019
7 Reads

Thoracal arachnoiditis ossificans associated with multifocal motor neuropathy: a case report.

Br J Neurosurg 2019 Jun 19:1-3. Epub 2019 Jun 19.

b Clinic for Neurology, Medical School , University of Belgrade , Serbia.

The association of arachnoiditis ossificans with acquired peripheral nerve disease is rare. We report a case who presented with progressive myelopathy due to arachnoiditis ossificans from prior trauma, complicated with multifocal motor neuropathy. Intradural bone was removed at surgery. Read More

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http://dx.doi.org/10.1080/02688697.2019.1630558DOI Listing
June 2019
4 Reads

Giant intradural extramedullary spinal ependymoma, a rare arachnoiditis-mimicking condition: case report and literature review.

Br J Neurosurg 2019 Jun 19:1-6. Epub 2019 Jun 19.

f Department of Neurosurgery , Walton Centre NHS Foudation Trust , Liverpool , UK.

Ependymomas are tumours arising from the ependymal cells lining the ventricles and the central canal of the spinal cord. They represent the most common intramedullary spinal cord tumour in adults and are very rarely encountered in an extramedullary location. Only 40 cases of intradural extramedullary (IDEM) ependymomas have been reported, all of which were diagnosed pre-operatively as IDEM ependymomas on contrast-enhanced MRI. Read More

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http://dx.doi.org/10.1080/02688697.2019.1630551DOI Listing
June 2019
7 Reads

[Abordaje asterional mínimamente invasivo para descompresión microvascular en neuralgia del trigémino].

Gac Med Mex 2019 ;155(Suppl 1):S70-S78

Dirección Normativa en Salud, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Ciudad de México, México.

Objective: Trigeminal neuralgia (TN) is a neuropathic disorder that can be treated surgically. This study aimed to present the surgical findings and the clinical outcomes of 26 patients with TN treated by minimally invasive asterional surgery.

Methods: Longitudinal descriptive study. Read More

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http://dx.doi.org/10.24875/GMM.19005130DOI Listing
January 2020
5 Reads

Multifaceted progressive neurotuberculosis in a single patient: from miliary tuberculomas to cortical venous infarct.

BJR Case Rep 2019 Feb 12;5(1):20180020. Epub 2018 Jul 12.

Section of Radiology, Santa Maria del Carmine Hospital, Rovereto, Italy.

Neurotuberculosis is a potentially fatal disease which requires prompt diagnosis and immediate multidrug antitubercular treatment as per international guidelines. There is evidence that the bacterial spread can continue even during therapy at least in its initial stages. We monitored our patient not only with chest X-rays but with brain MRI during the first 6 weeks. Read More

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http://dx.doi.org/10.1259/bjrcr.20180020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519487PMC
February 2019
1 Read

A Case of Spontaneous Spinal Subdural Hematoma Complicated by Cranial Subarachnoid Hemorrhage and Spinal Adhesive Arachnoiditis.

Case Rep Orthop 2019 13;2019:7384701. Epub 2019 Mar 13.

Department of Orthopedic Surgery, Toho University, Tokyo, Japan.

A 76-year-old woman with a spinal subdural hematoma (SDH) was presented with severe back pain without headache. Magnetic resonance imaging (MRI) performed 4 days after onset showed SDH extending from Th2 to L3. She was diagnosed with spontaneous SDH without neurological manifestation, and conservative treatment was selected. Read More

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http://dx.doi.org/10.1155/2019/7384701DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6436331PMC
March 2019
10 Reads

Acute urinary retention in a 4-year-old girl.

Arch Dis Child Educ Pract Ed 2019 Mar 26. Epub 2019 Mar 26.

Department of Woman, Child and of General and Specialized Surgery, Universita degli Studi della Campania Luigi Vanvitelli, Napoli, Italy.

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http://dx.doi.org/10.1136/archdischild-2018-316419DOI Listing
March 2019
2 Reads

Arachnoiditis Ossificans: A Rare Etiology of Oil-Based Spinal Myelography and Review of the Literature.

World Neurosurg 2019 Jun 9;126:189-193. Epub 2019 Mar 9.

Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada; Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada; Department of Neurosurgery, St. Michael's Hospital, Toronto, Ontario, Canada. Electronic address:

Background: Arachnoiditis ossificans (AO) is a rare entity characterized by the presence of calcified plaques formed by the metaplasia of arachnoid cells. Over 50 cases of AO have been reported, with predisposing factors including spinal trauma, hemorrhage, vascular abnormalities, and infection. The administration of oil-based contrast during myelography as an independent risk factor or in conjunction with other spinal pathology has been described in 9 cases. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.02.178DOI Listing
June 2019
8 Reads

Widening the spectrum of secondary headache: intracranial hypotension following a non-aneurysmal subarachnoid hemorrhage.

Neurol Sci 2019 Oct 7;40(10):2179-2181. Epub 2019 Mar 7.

Neurology Service and Stroke Unit, Department of Neuroscience, AO Brotzu, Cagliari, Italy.

Background: Intracranial hypotension has been associated with a wide spectrum of neurological conditions including chronic non-aneurysmal and acute aneurysmal subarachnoid hemorrhage.

Case: A 59-year-old man presented with a non-aneurysmal subarachnoid hemorrhage in a perimesencephalic pattern after a mild physical exertion. In the course of the disease, a magnetic resonance imaging of head and spine displayed intracranial hypotension that resolved spontaneously. Read More

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http://dx.doi.org/10.1007/s10072-019-03809-3DOI Listing
October 2019
9 Reads

Neural Mobilization in a 54-Year-Old Woman With Postoperative Spinal Adhesive Arachnoiditis.

J Chiropr Med 2018 Dec 20;17(4):283-288. Epub 2019 Jan 20.

Radiology Department, Logan University, Chesterfield, Missouri.

Objective: This case report describes the clinical features, complications, imaging characteristics, and management of postoperative spinal adhesive arachnoiditis.

Clinical Features: A 54-year-old woman presented with right posterior thigh and leg pain after a lumbar spine fusion surgery to correct a degenerative spondylolisthesis of L3/4. Her pain was sharp and shooting and worsened with knee extension. Read More

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http://dx.doi.org/10.1016/j.jcm.2018.07.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6391232PMC
December 2018
22 Reads

Clinical study of spinal tuberculosis presenting with neuro-deficits in Western India.

Indian J Tuberc 2019 Jan 13;66(1):81-86. Epub 2018 Apr 13.

Postgraduate Student, Department of Medicine, Dr. D.Y. Patil Medical College, Pune, Maharashtra, India.

Background/objectives: Spinal tuberculosis (TB) is a destructive extra-pulmonary disease manifestation of Mycobacterium tuberculosis infection. It is responsible for many cases of paraparesis and quadriparesis in developing countries where patients seek treatment late. The aim of this study was to understand and analyze the clinical and radiological profile of patients with spinal TB and correlate it with the anatomical site affected by it. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00195707173034
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http://dx.doi.org/10.1016/j.ijtb.2018.04.009DOI Listing
January 2019
15 Reads