2,098 results match your criteria Arachnoiditis Imaging


Case Report: Late Sequela of a Muslinoma Involving the Optic Chiasm.

Neuroophthalmology 2018 Dec 23;42(6):385-390. Epub 2018 May 23.

Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, Texas, USA.

An 84-year-old woman presented with 3 months of vertical binocular diplopia and difficulty reading at near. She had a history of bilateral ophthalmic artery aneurysm repair involving use of muslin in the 1990s. The patient then developed bitemporal hemianopsia secondary to muslin-induced inflammation ("muslinoma") extending to the optic chiasm, which required surgical decompression. Read More

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December 2018

Spinal arachnoiditis ossificans: report of a quadruple triggered case.

World Neurosurg 2018 Dec 3. Epub 2018 Dec 3.

Department of Neurological Surgery, Policlinico "G. Rodolico" University Hospital, Via Santa Sofia 86, 95123 - Catania, Italy.

Background: Arachnoiditis ossificans (AO) is a rare condition often associated with previous spine surgery. Here we describe a unique case of a patient affected by ankylosing spondylitis (AS), presenting with progressive neurological deterioration due to AO. We also review the literature on evaluation and management of patients suffering from AO. Read More

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December 2018
3 Reads

Surgical treatment of a thoracic ventral intradural arachnoid cyst associated with syringomyelia: case report.

Authors:

J Neurosurg Spine 2018 Nov 1:1-5. Epub 2018 Nov 1.

The pathogenesis of thoracic ventral intradural spinal arachnoid cyst (ISAC) is unknown due to its extremely low incidence. In addition, its surgical treatment is complicated because of the ventral location, large craniocaudal extension, and frequent coexistence of syringomyelia. The optimal surgical strategy for thoracic ventral ISAC remains unclear and continues to be a matter of debate. Read More

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November 2018
1 Read

International Stakeholder Community of Pain Experts and Leaders Call for an Urgent Action on Forced Opioid Tapering.

Authors:
Beth D Darnall David Juurlink Robert D Kerns Sean Mackey Brent Van Dorsten Keith Humphreys Julio A Gonzalez-Sotomayor Andrea Furlan Adam J Gordon Debra B Gordon Diane E Hoffman Joel Katz Stefan G Kertesz Sally Satel Richard A Lawhern Kate M Nicholson Rosemary C Polomano Owen D Williamson Heath McAnally Ming-Chih Kao Stephan Schug Robert Twillman Terri A Lewis Richard L Stieg Kate Lorig Theresa Mallick-Searle Robert W West Sarah Gray Steven R Ariens Jennifer Sharpe Potter Penney Cowan Chad D Kollas Danial Laird Barby Ingle J Julian Grove Marian Wilson Kashelle Lockman Fiona Hodson Carol S Palackdharry Roger B Fillingim Jeffrey Fudin Jennifer Barnhouse Ajay Manhapra Steven R Henson Bruce Singer Marie Ljosenvoor Marlisa Griffith Jason N Doctor Kimeron Hardin Cathleen London Jon Mankowski Andrea Anderson Linda Ellsworth Lisa Davis Budzinski Becky Brandt Greg Harkootley Debbie Nickels Heck Mark J Zobrosky Celeste Cheek Megan Wilson Cynthia E Laux Geralyn Datz Justin Dunaway Eileen Schonfeld Melissa Cady Thérèse LeDantec-Boswell Meredith Craigie John Sturgeon Pamela Flood Melita Giummarra Jessica Whelan Beverly E Thorn Richard L Martin Michael E Schatman Maurice D Gregory Joshua Kirz Patti Robinson James G Marx Jessica R Stewart Phillip S Keck Scott E Hadland Jennifer L Murphy Mark A Lumley Kathleen S Brown Michael S Leong Mechele Fillman James W Broatch Aaron Perez Kristine Watford Kari Kruska Dokyoung Sophia You Stacy Ogbeide Amy Kukucka Susan Lawson James B Ray T Wade Martin James B Lakehomer Anne Burke Robert I Cohen Peter Grinspoon Marc S Rubenstein Stephani Sutherland Kristie Walters Travis Lovejoy

Pain Med 2018 Nov 29. Epub 2018 Nov 29.

Department of Psychiatry, Oregon Health & Science University, Portland, Oregon.

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November 2018
3 Reads
2.300 Impact Factor

Adhesive arachnoiditis following inadvertent epidural injection of 2% chlorhexidine in 70% alcohol-partial recovery over the ensuing eight years.

Anaesth Intensive Care 2018 Nov;46(6):572-574

Conjoint Associate Professor, St George and Sutherland Clinical School; Sydney, New South Wales.

We report a case of serious neurologic injury due to inadvertent epidural injection of 8 ml of the antiseptic 2% chlorhexidine in 70% alcohol during a procedure aimed to relieve the pain of labour. This resulted in immediate severe back pain, progressive tetraparesis and sphincter dysfunction caused by damage to the spinal cord and nerve roots. Subacute hydrocephalus necessitated drainage, but cranial nerve and cognitive function were spared. Read More

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November 2018
4 Reads

Spinal Coccidioidomycosis: MR Imaging Findings in 41 Patients.

AJNR Am J Neuroradiol 2018 Nov 4;39(11):2148-2153. Epub 2018 Oct 4.

Department of Radiology (J.R.), Mayo Clinic College of Medicine, Phoenix, Arizona.

Background And Purpose: is a dimorphic fungus endemic to the Southwest United States and Mexico, and at our institution, it is a relatively common pathogen presenting with a broad spectrum of associated spine diseases. We describe the various spinal manifestations resulting from coccidioidal infection and provide MR imaging examples from 41 pathologically proved cases.

Materials And Methods: Retrospective electronic medical record and PACS searches were performed. Read More

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November 2018
3 Reads

Central nervous system tuberculosis following delayed and initially missed lung miliary tuberculosis: a case report.

Infez Med 2018 Sep;26(3):270-275

Internal Medicine Master of Medicine, Chiclayo, Lambayeque, Peru; Emergency Department of Regional Hospital of Lambayeque, Chiclayo, Lambayeque, Peru.

Central nervous system (CNS) tuberculosis includes three clinical entities: tuberculous meningitis, intracranial tuberculoma, and spinal tuberculous arachnoiditis. All three categories are encountered frequently in regions of the world where the incidence of TB is high. Meningeal tuberculosis is a medical emergency: it is the most severe, lethal and disabling form of tuberculosis. Read More

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September 2018
2 Reads

Relationship between malaria epidemiology and the human development index in Colombia and Latin America.

Infez Med 2018 Sep;26(3):255-262

Public Health and Infection Research Group, Faculty of Health Sciences, Universidad Tecnologica de Pereira, Pereira, Risaralda, Colombia;Committee on Tropical Medicine, Zoonoses and Travel Medicine, Asociación Colombiana de Infectología (ACIN), Bogotá, DC, Colombia; Medical School, Faculty of Health Sciences, UniFranz, Cochabamba, Bolivia.

Central nervous system (CNS) tuberculosis includes three clinical entities: tuberculous meningitis, intracranial tuberculoma, and spinal tuberculous arachnoiditis. All three categories are encountered frequently in regions of the world where the incidence of TB is high. Meningeal tuberculosis is a medical emergency: it is the most severe, lethal and disabling form of tuberculosis. Read More

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September 2018
1 Read

Muslin Granuloma Mimicking Parenchymal Hematoma in Patient with Seizures 30 Years After Aneurysm Wrapping.

World Neurosurg 2018 Dec 3;120:129-130. Epub 2018 Sep 3.

Division of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Muslin foreign body granulomas are a known complication of muslin aneurysm wrapping and have been associated with vision loss from optochiasmatic arachnoiditis. Muslin granulomas have also been confused with abscesses due to surrounding inflammatory changes. In this clinical image, we present a unique case of a muslin granuloma mimicking an intraparenchymal hematoma. Read More

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December 2018
2 Reads

Spontaneous Spinal Subarachnoid Hemorrhage: Presentation and Outcome.

J Stroke Cerebrovasc Dis 2018 Oct 29;27(10):2792-2796. Epub 2018 Jul 29.

Department of Neurology, Mayo Clinic, Rochester, Minnesota.

Background: Spontaneous spinal subarachnoid hemorrhage (SSAH) is a rare but serious condition that can lead to a variety of medical complications.

Methods: Using the Mayo Clinic Rochester database, consecutive patients admitted to the Mayo Clinic Rochester, Minnesota hospital with spontaneous SSAH (not iatrogenic or traumatic) between January 2000 and December 2015 were retrospectively reviewed. Demographic and clinical data and functional outcomes as categorized by the modified Rankin Scale (mRS) score at the time of discharge and at postadmission follow-up were assessed. Read More

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October 2018
3 Reads

Postarachnoiditis Anterior Spinal Arachnoid Cyst Formation with Compressive Myelopathy: Report of 2 Cases.

World Neurosurg 2018 Oct 11;118:59-62. Epub 2018 Jul 11.

Department of Neurosurgery, Ghent University Hospital, Ghent, Belgium.

Background: Spinal cystic arachnoiditis is a rare complication of a subarachnoid haemorrhage or infectious meningitis. The inflammatory process leads to fibrosis, adhesions, and in severe cases cyst formation. Large arachnoid cysts are an uncommon cause of compressive myelopathy. Read More

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October 2018
4 Reads

Tuberculosis of the central nervous system in children.

Childs Nerv Syst 2018 Oct 5;34(10):1925-1935. Epub 2018 Jul 5.

Department of Neurosurgery, Bombay Hospital Institute of Medical Sciences, Marine Lines, Mumbai, India.

Background: Central nervous system tuberculosis (CNS TB) in children is still a socioeconomic problem in developing countries. It has varied manifestations, symptoms are nonspecific, diagnosis can be challenging, and treatment may be difficult. It is often missed or overlooked. Read More

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October 2018
11 Reads

Cervicothoracic arachnoiditis-a rare complication of aneurysmal intracranial subarachnoid haemorrhage.

Spinal Cord Ser Cases 2018 28;4:57. Epub 2018 Jun 28.

3National Spinal Injuries Centre, Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.

Introduction: Subarachnoid haemorrhage is a catastrophic condition which has significant morbidity and mortality, with mortality rate ranging between 8-67% and is associated with significant morbidity among the survivors. Arachnoiditis of the spinal cord is a very rare complication which can occur months to years after the subarachnoid haemorrhage.

Case Presentation: We report a case of cervicothoracic arachnoiditis following the subarachnoid haemorrhage secondary to posterior inferior cerebellar artery (PICA) aneurysm with posterior fossa AVM (arterio-venous malformation) causing dense paraplegia. Read More

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June 2018
1 Read

Extensive Spinal Adhesive Arachnoiditis After Extradural Spinal Infection-Spinal Dura Mater Is No Barrier to Inflammation.

World Neurosurg 2018 Aug 5;116:e1194-e1203. Epub 2018 Jun 5.

Department of Neurosurgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Background: Spinal adhesive arachnoiditis (SAA) is an inflammatory process of the meninges. Cystic changes and cicatrization may lead to neurologic deficits and immobilization. Therapy is difficult and often unsatisfactory. Read More

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August 2018
23 Reads

[Treatment of patients with ossifying arachnoiditis and progressive syringomyelia (analysis of three cases and a literature review)].

Zh Vopr Neirokhir Im N N Burdenko 2018 ;82(2):71-80

Pirogov National Medical Surgical Center, Nizhnyaya Pervomayskaya Str., 70, Moscow, Russia, 105203.

To date, only 12 cases of ossifying arachnoiditis with concomitant syringomyelia have been reported in the world literature. In this article, we presented our experience of treating three patients with syringomyelia associated with ossifying arachnoiditis.

Objective: based on the literature data and our own experience, we tried to define the most optimal treatment approach for this disease. Read More

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January 2018

The Global Neurological Burden of Tuberculosis.

Semin Neurol 2018 04 23;38(2):226-237. Epub 2018 May 23.

Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Central nervous system (CNS) involvement of tuberculosis (TB) is the most severe manifestation of TB and accounts for approximately 5 to 10% of all extrapulmonary TB (EPTB) cases and approximately 1% of all TB cases. TB meningitis (TBM) is the most common form of CNS TB, though other forms occur, often in conjunction with TBM, including intracranial tuberculomas, tuberculous brain abscesses, and spinal tubercular arachnoiditis. CNS TB often presents with nonspecific clinical features that mimic symptoms of other neurological conditions, often making diagnosis difficult. Read More

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April 2018
1 Read

Diagnosis, Classification, and Management of Fourth Ventriculomegaly in Adults: Report of 9 Cases and Literature Review.

World Neurosurg 2018 Aug 17;116:e709-e722. Epub 2018 May 17.

Department of Neurosurgery, Kaiser Permanente, Sacramento, California, USA.

Objective: An enlarged fourth ventricle, otherwise known as fourth ventriculomegaly (4th VM), has been reported previously in the pediatric population, yet literature on adults is scant. We report our experience with 4th VM in adults over an 11-year period and review the literature.

Materials And Methods: This was a retrospective chart review of adult patients with the diagnosis of 4th VM admitted to the intensive care unit in a tertiary care center. Read More

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August 2018
2 Reads

Two cases of sarcoidosis presenting as longitudinally extensive transverse myelitis.

Clin Rheumatol 2018 May 17. Epub 2018 May 17.

Rheumatology Division, Tufts Medical Center, 800 Washington St, Boston, MA, 02111, USA.

Neurosarcoidosis is uncommon with an incidence of approximately 5 to 15%. Central nervous system involvement can be divided into brain and spinal cord neurosarcoidosis. Spinal cord sarcoidosis is extremely rare, occurring in less than 1% of all sarcoidosis cases. Read More

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May 2018
2 Reads

Novel Association Between Intrathecal Drug Administration and Arachnoiditis Ossificans.

World Neurosurg 2018 Jul 7;115:400-406. Epub 2018 May 7.

Department of Neurological Surgery, Rutgers-New Jersey Medical School, Newark, New Jersey, USA.

Background: We present a case of delayed progression of adhesive arachnoiditis to arachnoiditis ossificans (AO) in a patient being treated with a high-dose polypharmaceutical intrathecal regimen.

Case Description: The patient is a 39-year-old Caucasian male who was implanted with an intrathecal pump in 2006 to control severe low back pain and administered intrathecal pain medication for a period of 10 years. In 2016, he developed new-onset radicular pain and worsened sensation in his lower extremities. Read More

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July 2018
6 Reads

Cauda equina syndrome following an uneventful spinal anesthesia in a patient undergoing drainage of the Bartholin abscess: A case report.

Medicine (Baltimore) 2018 May;97(19):e0693

Department of Anesthesiology.

Rationale: Neuraxial anesthesia is a commonly used type of regional anesthesia. Cauda equina syndrome is an unusual and severe complication of neuraxial anesthesia, and is caused by damage to the sacral roots of the neural canal. We present a case of cauda equina syndrome following spinal anesthesia in a patient who underwent Bartholin abscess drainage. Read More

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May 2018
18 Reads

Acute cauda equina syndrome following orthopedic procedures as a result of epidural anesthesia.

Surg Neurol Int 2018 10;9:81. Epub 2018 Apr 10.

Norton Neuroscience Institute, Norton Healthcare, Louisville, Kentucky, USA.

Background: Cauda equina syndrome (CES) is a rare complication of spinal or epidural anesthesia. It is attributed to direct mechanical injury to the spinal roots of the cauda equina that may result in saddle anesthesia and paraplegia with bowel and bladder dysfunction.

Case Description: The first patient underwent a hip replacement and received 5 mL of 1% lidocaine epidural anesthesia. Read More

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April 2018
2 Reads

Toxic Myelitis and Arachnoiditis After Intrathecal Delivery of Bupivacaine via an Implanted Drug Delivery System: Case Report and Review of the Literature.

Cureus 2018 Feb 27;10(2):e2240. Epub 2018 Feb 27.

Department of Neurosurgery, Houston Methodist Neurological Institute.

The off-label usage of amino-amide anesthetics in intrathecal drug delivery systems (IDDS) for the treatment of chronic non-malignant and malignant pain is supported in the polyanalgesic consensus guidelines as a second-line adjunctive therapy. Although strong evidence for its clinical efficacy is lacking, its clinical safety profile has been well established within established dosing parameters. Despite the rarity of neurological adverse reactions to intrathecal bupivacaine, whether given as regional anesthesia or intrathecal therapy, neurologic morbidity associated with its administration is well documented. Read More

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February 2018

Rare case of diffuse spinal arachnoiditis following a complicated vertebral artery dissection.

J Clin Neurosci 2018 Jun 28;52:132-134. Epub 2018 Mar 28.

Department of Neurological Surgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, Philadelphia, PA, United States. Electronic address:

Spinal arachnoiditis (SA) is an extremely rare and delayed complication of subarachnoid hemorrhage (SAH). Little is known about its underlying pathogenesis and subsequent clinical course. A middle-aged patient presented with the worst headache of her life and a grade 3 SAH of the basal-cisterns and posterior fossa was identified on Computed Tomography scans (CT). Read More

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June 2018
11 Reads

Delayed Spinal Arachnoiditis Following Aneurysmal Subarachnoid Hemorrhage: A Case Report.

Cureus 2018 Jan 6;10(1):e2031. Epub 2018 Jan 6.

Department of Neurosurgery, LSU Health Sciences Center Shreveport.

Spinal arachnoiditis (SA) is a rare and delayed complication of aneurysmal subarachnoid hemorrhage (aSAH). We present a case of delayed SA associated with thoracic and lumbar arachnoid cysts in a patient with aSAH secondary to a ruptured vertebral artery aneurysm. The patient underwent a thoracic laminectomy for decompression of the spinal cord, lysis of arachnoid adhesions, and fenestration of an arachnoid cyst. Read More

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January 2018
9 Reads

Spinal adhesive arachnoiditis following the rupture of an Adamkiewicz aneurysm: Literature review and a case illustration.

Neurochirurgie 2018 Jun 9;64(3):177-182. Epub 2018 Feb 9.

Neurosurgery department, Hautepierre University Hospital, Strasbourg, France.

Background: The rupture of an isolated spinal aneurysm is an exceptional occurrence. It might be responsible for a spinal subarachnoid haemorrhage (SSAH) that in rare cases can be complicated by arachnoiditis. Among the former the adhesive type is the most severe leading to the formation of a cyst and/or a syrinx. Read More

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June 2018
7 Reads

Adult Tethered Cord Syndrome Following Chiari Decompression.

World Neurosurg 2018 Apr 1;112:205-208. Epub 2018 Feb 1.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. Electronic address:

Background: Adult tethered cord syndrome is a rare neurologic disorder that classically presents with back or leg pain, weakness, and urinary dysfunction. Spinal cord tethering has been associated with acquired Chiari malformations. Whereas the effects of tethered cord release on Chiari malformation symptoms have been described previously, we report an unusual case of acquired tethered cord syndrome following Chiari decompression. Read More

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April 2018
10 Reads

Tethered Cord as a Complication of Chronic Cerebral Spinal Fluid Diversion.

Int J Spine Surg 2017 4;11:26. Epub 2017 Aug 4.

Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey.

Introduction: The etiology and treatment of tethered cord syndrome remains controversial, especially in adults. We present an unusual case of tethered cord syndrome with an associated epidural lipomatosis likely due to chronic over shunting of cerebrospinal fluid (CSF).

Methods: A 25-year-old woman had a history of Chiari malformation, hydrocephalus, and a ventriculoperitoneal shunt. Read More

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August 2017
8 Reads

Potentially stress-induced acute splanchnic segmental arterial mediolysis with a favorable spontaneous outcome.

J Vasc Surg Cases Innov Tech 2017 Mar 6;3(1):26-29. Epub 2017 Mar 6.

Internal Medicine Clinic, University Hospital of Grenoble-Alpes, Grenoble, France.

A 62-year-old woman presented with hemithoracic anesthesia and acute abdominal pain following a violent psychological stress. Magnetic resonance imaging showed a thoracic hematoma with arachnoiditis of the spinal cord. Tomography revealed a typical aspect of segmental arterial mediolysis with multiple aneurysms and stenoses of the splanchnic arteries, confirmed by abdominal arteriography. Read More

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March 2017
4 Reads

Case Report: Neurobrucellosis with Plastered Spinal Arachnoiditis: A Magnetic Resonance Imaging-Based Report.

Am J Trop Med Hyg 2018 03 11;98(3):800-802. Epub 2018 Jan 11.

Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India.

Diffuse spinal arachnoiditis in neurobrucellosis is a rare manifestation. We report a boy aged 17, presenting with hearing impairment and recurrent vomiting for 18 months, weight loss for 12 months, dysphagia, dysarthria, hypophonia for 6 months, and gait unsteadiness for 5 months. He had bilateral 5th (motor) to 12th cranial nerve palsy, wasting and weakness of limbs, fasciculations, absent tendon reflexes, and positive Babinski's sign. Read More

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March 2018
5 Reads

Spinal cord injury arising in anaesthesia practice.

Anaesthesia 2018 Jan;73 Suppl 1:43-50

Anaesthesia & Critical Care, School of Medicine, Division of Clinical Neuroscience, University of Nottingham, Nottingham, UK.

Spinal cord injury arising during anaesthetic practice is a rare event, but one that carries a significant burden in terms of morbidity and mortality. In this article, we will review the pathophysiology of spinal cord injury. We will then discuss injuries relating to patient position, spinal cord hypoperfusion and neuraxial techniques. Read More

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January 2018
2 Reads

Cervicothoracic syringomyelia caused by cervical spinal stenosis: Case report and literature review.

Surg Neurol Int 2017 6;8:288. Epub 2017 Dec 6.

Department of Neurosurgery, Faculty of medicine of Tunis, El Manar-Tunis University, Burns and Trauma Center, Ben Arous, Tunisia.

Background: Syringomyelia is commonly associated with Chiari malformations, spinal trauma, arachnoiditis, or tumors. However, rarely, cervical canal stenosis is implicated in intramedullary cavitations.

Case Discription: Here, we report the case of a 60-year-old male patient who presented with loss of pain and temperature sensation in upper extremities associated with a spastic tetraparesis. Read More

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December 2017
13 Reads

Adhesive arachnoiditis secondary to the use of intrathecal liposoluble contrast.

Radiologia 2018 May - Jun;60(3):267-269. Epub 2017 Dec 18.

Servicio de Radiología, Hospital Universitario San Juan de Alicante, Alicante, España.

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December 2017

Safety of intrathecal route: focus to methylprednisolone acetate (Depo-Medrol) use.

Eur Spine J 2017 Nov 18. Epub 2017 Nov 18.

Pharmacie, Hôpital Universitaire Necker - Enfants Malades, APHP, Paris, France.

Purpose: Complications of the intrathecal route may cause potential toxicity related to the medical device and properties of the administered drug and/or excipient. A description of clinical and histological effects of polyethylene glycol and miripirium after Depo-Medrol injection, and the adverse reactions of particulate methylprednisolone acetate was conducted. The safety of the intrathecal route with excipients, label and off-label drugs is discussed. Read More

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November 2017
10 Reads

Arachnoiditis ossificans associated with syringomyelia: a case report.

Br J Neurosurg 2017 Nov 2:1-3. Epub 2017 Nov 2.

a Department of Spine Surgery , Affiliated Foshan TCM Hospital with Guangzhou University of Chinese Medicine , Foshan City , Guangdong Province , China.

The association of arachnoiditis ossificans with syringomyelia is a rare pathological entity. We present an unusual case who presented with progressive myelopathy caused by arachnoidits ossificans and syringomyelia. The pathophysiology and treatment strategy of this rare entity are still controversial. Read More

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November 2017
15 Reads

The 3D characteristics of post-traumatic syringomyelia in a rat model: a propagation-based synchrotron radiation microtomography study.

J Synchrotron Radiat 2017 Nov 4;24(Pt 6):1218-1225. Epub 2017 Oct 4.

Department of Spine Surgery, Xiangya Hospital, Central South University, Changsha 410008, People's Republic of China.

Many published literature sources have described the histopathological characteristics of post-traumatic syringomyelia (PTS). However, three-dimensional (3D) visualization studies of PTS have been limited due to the lack of reliable 3D imaging techniques. In this study, the imaging efficiency of propagation-based synchrotron radiation microtomography (PB-SRµCT) was determined to detect the 3D morphology of the cavity and surrounding microvasculature network in a rat model of PTS. Read More

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November 2017
19 Reads

Syrinx to Subarachnoid Shunting for Syringomyelia.

World Neurosurg 2018 Feb 7;110:e53-e59. Epub 2017 Oct 7.

Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, New South Wales, Sydney, Australia. Electronic address:

Objective: Surgery for syringomyelia generally aims to treat the underlying cause, if it is known. Optimal management is unclear for idiopathic syringomyelia, or when treatment of the putative cause has failed or is high risk. Syrinx to subarachnoid shunting is an option for these cases; a series is reported to assess the outcomes of this approach. Read More

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February 2018
7 Reads

Concurrent intramedullary spinal cord and multiple intracranial tuberculomas with tuberculous optic neuritis: A rare case report.

Indian J Tuberc 2017 Oct 28;64(4):337-340. Epub 2016 Dec 28.

Department of Neurology, S.C.B. Medical college, Cuttack, India.

Tuberculosis (TB) remains a worldwide burden, with a large majority of new active TB cases occurring in underdeveloped and developing countries. Tuberculous meningitis (TBM) is one of the common infections of central nervous system. Other manifestations include intracranial tuberculoma, tubercular brain abscess, spinal tuberculoma, and granulomatous arachnoiditis. Read More

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October 2017
13 Reads

Late-Onset Non-HLH Presentations of Growth Arrest, Inflammatory Arachnoiditis, and Severe Infectious Mononucleosis, in Siblings with Hypomorphic Defects in .

Front Immunol 2017 9;8:944. Epub 2017 Aug 9.

Killer Cell Biology Laboratory, Cancer Immunology Research, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.

Bi-allelic null mutations affecting , or result in defects of lymphocyte cytotoxic degranulation and commonly cause familial hemophagocytic lymphohistiocytosis (FHL) in early life. Patients with partial loss of function are increasingly being diagnosed after presenting with alternative features of this disease, or with HLH later in life. Here, we studied two sisters with lymphocyte degranulation defects secondary to compound heterozygote missense variants in . Read More

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August 2017
33 Reads

Treatment of Syringomyelia in Patients with Arachnoiditis at the Craniocervical Junction.

World Neurosurg 2017 Nov 24;107:565-573. Epub 2017 Aug 24.

Department of Clinical Medicine, Faculty of Medicine and Health Sciences, Macquarie University, New South Wales, Australia. Electronic address:

Objective: Craniocervical junction arachnoiditis (CCJA) is an uncommon cause of syringomyelia. The pathophysiology of syrinx formation is uncertain, and the appropriate management unclear. A series of cases is reported to demonstrate variations in etiology, uniformity of functional cerebrospinal fluid obstruction at the foramen magnum, and results of surgical intervention. Read More

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November 2017
14 Reads

Recovery of Tinnitus and Sensorineural Hearing Loss Due to Lysis of Arachnoid Adhesions in the Posterior Cranial Fossa: Is There a Novel Etiology in Neurotological Disorders?

J Int Adv Otol 2017 Aug;13(2):295-297

Clinic of Ear Nose Throat and Head Neck Surgery, İstanbul Medipol University, İstanbul, Turkey.

We reported the recovery of sensorineural hearing loss and tinnitus in a 22-year-old man after complete removal of intracranial portion of jugular foramen schwannoma via the retrosigmoid approach. The aim of this case report was to present the excision of a large jugular foramen schwannoma via the retrosigmoid approach and to describe the improvement of sensorineural hearing loss related to arachnoid inflammations due to chronic arachnoiditis after suboccipital craniectomy. The recovery of sensorineural hearing loss and tinnitus after release of arachnoid adhesions may indicate the clinical significance of these adhesions or arachnoiditis, which should also be considered and investigated in the etiology of other neurotological diseases. Read More

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August 2017
11 Reads

Electrospun fibrous membranes featuring sustained release of ibuprofen reduce adhesion and improve neurological function following lumbar laminectomy.

J Control Release 2017 Oct 10;264:1-13. Epub 2017 Aug 10.

Department of Orthopaedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yishan Rd, Shanghai 200233, PR China. Electronic address:

Electrospun fibrous membranes provide suitable physical anti-adhesion barriers for reducing tissue anti-adhesion following surgery. However, often during the biodegradation process, these barriers trigger inflammation and cause a foreign body reaction with subsequent decrease in anti-adhesion efficacy. Here, a facile strategy comprising the incorporation of ibuprofen (IBU) into implantable membranes and its sustained release was proposed in order to improve anti-adhesion effects and neurological outcomes, namely to prevent failed back surgery syndrome (FBSS). Read More

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October 2017
15 Reads

Case 2: New-onset Seizures in a 14-year-old Boy.

Authors:
Karen Teelin

Pediatr Rev 2017 Aug;38(8):384

Department of Pediatrics, State University of New York Upstate Medical University, Syracuse, NY.

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August 2017
2 Reads

Subcutaneous Injection of Triamcinolone and Lidocaine to Prevent Postherpetic Neuralgia.

Pain Physician 2017 07;20(5):397-403

Department of Pain Management, Xuanwu Hospital of Capital Medical University, Bejing, China.

Background: Herpes zoster (HZ) is associated with inflammation of the peripheral nerves, which is considered to be an important cause of postherpetic neuralgia (PHN). Interventions aimed at reducing this inflammation could prevent PHN. One option is the epidural administration of corticosteroid and local anesthetic. Read More

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July 2017
3 Reads

Microscope and Fiberscope-assisted Subarachnoid-Subarachnoid (S-S) Bypass: A Novel Surgical Technique to Reestablish Cerebrospinal Fluid Flow in Treating Dorsal Spinal Arachnoid Webs, Diagnosed by Cine-MRI.

Clin Spine Surg 2018 Mar;31(2):58-64

Department of Orthopaedic surgery, Hiroshima City Asa Citizens' Hospital, Japan.

A "dorsal spinal arachnoid web" is the thickened arachnoid band on the surface of the spinal cord which disturbs the cerebrospinal fluid (CSF) flow, known as a rare cause of thoracic myelopathy. The ideal treatment is controversial because of the risk of readhesion after simple resection of the web. A subarachnoid-subarachnoid bypass is a method to reestablish CSF flow through a silicon tube between the cranial and caudal subarachnoid space. Read More

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March 2018
3 Reads

Intradural Extramedullary Capillary Hemangioma In the Upper Thoracic Spine with Simultaneous Extensive Arachnoiditis.

Korean J Spine 2017 Jun 30;14(2):57-60. Epub 2017 Jun 30.

Department of Neurosurgery, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Korea.

Capillary hemangiomas are common benign vascular tumors on skin and soft tissues, but developing as an intradural and extramedullary (IDEM) tumor in spine is extremely rare. In this report, we present IDEM tumor compressing thoracic cord in T2-3 level with extensive arachnoiditis below the tumor level in a 60-year-old man. The lesion was removed and histological diagnosis was capillary hemangioma. Read More

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June 2017
5 Reads

Intrathecal hematoma and arachnoiditis mimicking bacterial meningitis after an epidural blood patch.

Int J Obstet Anesth 2017 Nov 1;32:77-81. Epub 2017 Jun 1.

Hôpital Cochin, 27, rue du Faubourg Saint Jacques, 75014 Paris, France.

We present a case of arachnoiditis and an intrathecal hematoma after an epidural blood patch. A 24-year-old parturient underwent an epidural blood patch three days after an accidental dural puncture during epidural labor analgesia. Four days later, the patient developed severe lower back pain, bilateral leg pain, persistent headache and fever. Read More

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November 2017
25 Reads

Unilateral isolated hypoglossal nerve palsy due to pathologically adherent PICA fusiform aneurysm - A case report.

Surg Neurol Int 2017 13;8:114. Epub 2017 Jun 13.

Memfys Hospital for Neurosurgery, Enugu, Nigeria.

Background: Isolated hypoglossal nerve palsy due to mechanical compression by a vascular lesion is rare.

Case Description: We report the case of a 72-year-old man who presented with a 4-year history of swallowing disturbance and subsequently progressively worsening left-sided tongue atrophy. He was referred to our department by a neurologist due a magnetic resonance imaging detected left vertebral artery compression of the medulla. Read More

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June 2017
15 Reads

[Treatment of syringomyelia associated with adhesive arachnoiditis].

Zh Vopr Neirokhir Im N N Burdenko 2017;81(3):39-47

Petrovsky Russian Scientific Center of Surgery, Moscow, Russia.

The prevalence of syringomyelia (SM) caused by adhesive arachnoiditis (AA) is 2 to 4 cases per 100000 population. Surgical treatment of this pathology usually includes implantation of shunts into the cyst cavity or opening and drainage of the cavity. In this case, SM continues to progress in 72-100% of patients. Read More

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April 2018
21 Reads

Failed Back Surgery Syndrome: Evaluation with Magnetic Resonance Imaging.

J Clin Diagn Res 2017 May 1;11(5):TC06-TC09. Epub 2017 May 1.

Resident, Department of Radiology, Base Hospital, Delhi Cantt, New Delhi, India.

Introduction: Failed Back Surgery Syndrome (FBSS) is a generalized term used to describe varied spinal symptoms of patients who have had unsuccessful results after spinal surgery. The treatment of FBSS is challenging and varies from conservative management to reoperation. Imaging plays a crucial role in identifying the cause and helps to guide the appropriate therapy. Read More

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May 2017
25 Reads

Imaging Appearance of Advanced Chronic Adhesive Arachnoiditis: A Retrospective Review.

AJR Am J Roentgenol 2017 Sep 22;209(3):648-655. Epub 2017 Jun 22.

1 Department of Radiology, Mayo Clinic, 200 First St SW, Rochester, MN 55905.

Objective: Chronic adhesive arachnoiditis (CAA) is rare and has potentially devastating clinical consequences. The objective of this article is to review the clinical features of CAA and describe its appearance on imaging, to increase radiologists' awareness of this challenging diagnosis.

Materials And Methods: Twenty-nine cases of advanced CAA seen at our institution over 18 years (1995-2013) were retrospectively reviewed. Read More

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September 2017
11 Reads