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Hiroshi Takahashi - One of the best experts on this subject based on the ideXlab platform.
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A Case of Spontaneous Spinal Subdural Hematoma Complicated by Cranial Subarachnoid Hemorrhage and Spinal Adhesive Arachnoiditis
Hindawi Limited, 2019Co-Authors: Toshiyuki Tsutsui, Yasuaki Iida, Katsunori Fukutake, Ryoichi Fukano, Kosei Ishigaki, Kazuaki Tsuchiya, Hiroshi TakahashiAbstract: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. Transient disturbance of orientation appeared 7 days after onset. Small subarachnoid hemorrhage (SAH) was detected on head CT, and strict antihypertensive therapy was started. Symptoms changed for the better. Back pain disappeared 4 weeks after onset. On follow-up MRI at 6 months after onset, the SDH had been resolved spontaneously. Although adhesive Arachnoiditis was observed at Th4-6, the recurrence of clinical symptoms was not observed at one year and a half after onset. Spinal subdural space is almost avascular; a hematoma in a subdural space is considered to come from a subarachnoid space when it is a lot. A hemorrhage in subarachnoid space was flushed by cerebral spinal fluid; hematoma or Arachnoiditis was not formed in general. In our case, hemorrhage was a lot and expansion of SDH was large enough to cause cranial SAH and Arachnoiditis. But longitudinally expanded SDH did not show neurological manifestation and resolved spontaneously in our case
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syringomyelia caused by intrathecal remnants of oil based contrast medium
Journal of Neurosurgery, 2008Co-Authors: Mayumi Kubota, Masahiro Shin, Toru Terao, Jun Nakauchi, Makoto Taniguchi, Hiroshi TakahashiAbstract:✓ Oily contrast medium had been in use since the early 19th century as a radiographic agent for detecting spinal lesions and spinal cord tumors until the late 20th century. At that point computed tomography scanning and magnetic resonance imaging, or other hydrophilic contrast medium substituted for it. Adverse effects of oil-based dye, both acute and chronic, had been reported since the middle of the 20th century. In this paper the authors report the case of syringomyelia that seemed to be caused mainly by remaining oily contrast medium for 44 years. Syringomyelia secondary to adhesive Arachnoiditis caused by oily contrast medium after a long period of time is well known. In the present case, however, surgery revealed only mild Arachnoiditis at the level of syringomyelia as well as both solid and liquid remnants of contrast medium. Generally, cerebrospinal fluid (CSF) blockage due to an arachnoid adhesion is considered to cause syringomyelia following adhesive Arachnoiditis. The authors speculated that i...
Laurent Collignon - One of the best experts on this subject based on the ideXlab platform.
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Familial Adhesive Arachnoiditis Associated with Syringomyelia A
2020Co-Authors: Vasiliki Pasoglou, Nicolas Janin, Malek Tebache, Thomas Tegos, Jacques D Born, Laurent CollignonAbstract:ABSTRACT SUMMARY: Adhesive Arachnoiditis is a rare condition, often complicated by syringomyelia. This pathologic entity is usually associated with prior spinal surgery, spinal inflammation or infection, and hemorrhage. The usual symptoms of Arachnoiditis are pain, paresthesia, and weakness of the low extremities due to the nerve entrapment. A few cases have had no obvious etiology. Previous studies have reported one family with multiple cases of adhesive Arachnoiditis. We report a second family of Belgian origin with multiple cases of Arachnoiditis and secondary syringomyelia in the affected individuals
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familial adhesive Arachnoiditis associated with syringomyelia
American Journal of Neuroradiology, 2014Co-Authors: Vasiliki Pasoglou, Nicolas Janin, Malek Tebache, Thomas Tegos, Jacques D Born, Laurent CollignonAbstract:Adhesive Arachnoiditis is a rare condition, often complicated by syringomyelia. This pathologic entity is usually associated with prior spinal surgery, spinal inflammation or infection, and hemorrhage. The usual symptoms of Arachnoiditis are pain, paresthesia, and weakness of the low extremities due to the nerve entrapment. A few cases have had no obvious etiology. Previous studies have reported one family with multiple cases of adhesive Arachnoiditis. We report a second family of Belgian origin with multiple cases of Arachnoiditis and secondary syringomyelia in the affected individuals.
Francesca Locatelli - One of the best experts on this subject based on the ideXlab platform.
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surgical management of syringomyelia unrelated to chiari malformation or spinal cord injury
European Spine Journal, 2016Co-Authors: Andrea Talacchi, Pietro Meneghelli, Ignazio Borghesi, Francesca LocatelliAbstract:Purpose Syringomyelia is a misleading disease since the problem always lies elsewhere. Arachnoiditis, because it is radiographically difficult to discern, is an especially insidious cause. To better guide selection from among surgical treatment options for syringomyelia, we reviewed our case series of patients without Chiari malformation or spinal injury.
Robert Sevick - One of the best experts on this subject based on the ideXlab platform.
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Arachnoiditis ossificans mr imaging features in five patients
American Journal of Roentgenology, 2001Co-Authors: Bevan Frizzell, Phoebe A Kaplan, Robert G Dussault, Robert SevickAbstract:Objective The purpose of this article is to illustrate the appearance of Arachnoiditis ossificans on MR imaging and discuss the implications this diagnosis has on treatment. Conclusion In patients with Arachnoiditis ossificans, the MR imaging findings are of linear or masslike intrathecal lesions, which generally have some hyperintensity on T1- weighted sequences and are hyper- or hypointense on T2-weighted images, in the setting of Arachnoiditis.
Seniha Ozudogru - One of the best experts on this subject based on the ideXlab platform.
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Arachnoiditis a complication of epidural blood patch for the treatment of low pressure headache a case report and systematic review
Headache, 2021Co-Authors: Linda A Villani, Kathleen B Digre, Melissa M Cortez, Christina Bokat, Ulrich A Rassner, Seniha OzudogruAbstract:OBJECTIVE To report a case of Arachnoiditis as a complication of epidural blood patch procedures and to systematically review the diagnostic workup, clinical outcomes, and treatment modalities reported in the literature. BACKGROUND Epidural blood patching is an effective treatment for low-pressure headache secondary to spontaneous cerebrospinal fluid leak or iatrogenic post-dural puncture. Spontaneous intracranial hypotension is believed to be a rare headache disorder, but recently has been diagnosed at higher frequencies, making it an important differential diagnosis for intractable headaches. Arachnoiditis has surfaced as a rare complication of epidural blood patching. Symptom presentation does not always correlate with evidence of meningeal enhancement on imaging. Optimal methods for treatment remain largely unknown. METHODS Databases Embase and PubMed were searched for all published studies on Arachnoiditis post-epidural blood patch using a combination of the following medical subject headings and keywords: Arachnoiditis, arachnoid inflammation, adverse event, and epidural blood patch. All original English-language articles that described arachnoid and/or meningeal inflammation in conjunction with epidural blood patch procedures were included for analysis. Title and abstract screening, data extraction, and risk of bias assessment were conducted independently and in duplicate by two reviewers. RESULTS Seven other cases of Arachnoiditis post-blood patch placement have been documented, most of which were diagnosed via magnetic resonance imaging. Six of these were a result of a spinal-epidural anesthesia for labor and delivery. Common symptoms reported were headache, back and radicular pain, paresthesia, and motor weakness. There are currently no proven consensus-based treatment recommendations available. While intravenous methylprednisolone followed by oral prednisone taper was found to be effective in the case presented, the benefit of other multi-modal therapies was unclear. CONCLUSIONS Headache specialists who treat postural headache should be aware of Arachnoiditis as a potentially severe complication of epidural blood patch. The case presented is the first of its kind to report Arachnoiditis as a complication of high-volume blood patch for the treatment of spontaneous intracranial hypotension. More studies are required to determine suitable treatment options for post-epidural blood patch Arachnoiditis.