Compressive Cervicothoracic Adhesive Arachnoiditis following Aneurysmal Subarachnoid Hemorrhage: A Case Report and Literature Review
Abstract We present the case of a 55-year-old woman with diffuse adhesive arachnoiditis in the posterior fossa and cervicothoracic spine following posterior inferior cerebellar artery aneurysmal subarachnoid hemorrhage (SAH). She underwent aneurysm clipping with subsequent gradual neurologic decline...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2014-01-01
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| Series: | Journal of Neurological Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1363506 |
| _version_ | 1818246783301582848 |
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| author | Gazanfar Rahmathulla Kambiz Kamian |
| author_facet | Gazanfar Rahmathulla Kambiz Kamian |
| author_sort | Gazanfar Rahmathulla |
| collection | DOAJ |
| description | Abstract
We present the case of a 55-year-old woman with diffuse adhesive arachnoiditis in the posterior fossa and cervicothoracic spine following posterior inferior cerebellar artery aneurysmal subarachnoid hemorrhage (SAH). She underwent aneurysm clipping with subsequent gradual neurologic decline associated with sensory disturbances, gait ataxia, and spastic paraparesis. Magnetic resonance imaging revealed diffuse adhesive arachnoiditis in the posterior fossa and cervicothoracic spine, syringobulbia, and multiple arachnoid cysts in the cervicothoracic spine along with syringohydromyelia. Early surgical intervention with microlysis of the adhesions and duraplasty at the clinically relevant levels resulted in clinical improvement. Although adhesive arachnoiditis, secondary arachnoid cysts, and cerebrospinal fluid flow abnormalities resulting in syrinx are rare following aneurysmal SAH, early recognition and appropriate intervention lead to good clinical outcomes. |
| first_indexed | 2024-12-12T14:54:18Z |
| format | Article |
| id | doaj.art-1a800a1a5c5f4fb08ae7858e817c0cdd |
| institution | Directory Open Access Journal |
| issn | 2193-6358 2193-6366 |
| language | English |
| last_indexed | 2024-12-12T14:54:18Z |
| publishDate | 2014-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Journal of Neurological Surgery Reports |
| spelling | doaj.art-1a800a1a5c5f4fb08ae7858e817c0cdd2022-12-22T00:20:56ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662014-01-017501e56e6110.1055/s-0033-1363506Compressive Cervicothoracic Adhesive Arachnoiditis following Aneurysmal Subarachnoid Hemorrhage: A Case Report and Literature ReviewGazanfar Rahmathulla0Kambiz Kamian1Department of Neurosurgery, Mayo Clinic, Jacksonville, FloridaDepartment of Neurosurgery, Cleveland Clinic, Cleveland, Ohio, United StatesAbstract We present the case of a 55-year-old woman with diffuse adhesive arachnoiditis in the posterior fossa and cervicothoracic spine following posterior inferior cerebellar artery aneurysmal subarachnoid hemorrhage (SAH). She underwent aneurysm clipping with subsequent gradual neurologic decline associated with sensory disturbances, gait ataxia, and spastic paraparesis. Magnetic resonance imaging revealed diffuse adhesive arachnoiditis in the posterior fossa and cervicothoracic spine, syringobulbia, and multiple arachnoid cysts in the cervicothoracic spine along with syringohydromyelia. Early surgical intervention with microlysis of the adhesions and duraplasty at the clinically relevant levels resulted in clinical improvement. Although adhesive arachnoiditis, secondary arachnoid cysts, and cerebrospinal fluid flow abnormalities resulting in syrinx are rare following aneurysmal SAH, early recognition and appropriate intervention lead to good clinical outcomes.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1363506aneurysmal subarachnoid hemorrhageadhesive arachnoiditisarachnoid cystssyringohydromyeliasyringobulbia |
| spellingShingle | Gazanfar Rahmathulla Kambiz Kamian Compressive Cervicothoracic Adhesive Arachnoiditis following Aneurysmal Subarachnoid Hemorrhage: A Case Report and Literature Review Journal of Neurological Surgery Reports aneurysmal subarachnoid hemorrhage adhesive arachnoiditis arachnoid cysts syringohydromyelia syringobulbia |
| title | Compressive Cervicothoracic Adhesive Arachnoiditis following Aneurysmal Subarachnoid Hemorrhage: A Case Report and Literature Review |
| title_full | Compressive Cervicothoracic Adhesive Arachnoiditis following Aneurysmal Subarachnoid Hemorrhage: A Case Report and Literature Review |
| title_fullStr | Compressive Cervicothoracic Adhesive Arachnoiditis following Aneurysmal Subarachnoid Hemorrhage: A Case Report and Literature Review |
| title_full_unstemmed | Compressive Cervicothoracic Adhesive Arachnoiditis following Aneurysmal Subarachnoid Hemorrhage: A Case Report and Literature Review |
| title_short | Compressive Cervicothoracic Adhesive Arachnoiditis following Aneurysmal Subarachnoid Hemorrhage: A Case Report and Literature Review |
| title_sort | compressive cervicothoracic adhesive arachnoiditis following aneurysmal subarachnoid hemorrhage a case report and literature review |
| topic | aneurysmal subarachnoid hemorrhage adhesive arachnoiditis arachnoid cysts syringohydromyelia syringobulbia |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1363506 |
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