Surgical treatment of thoracic arachnoiditis with multiple subarachnoid cysts caused by epidural anesthesia
Journal
Clinical Neurology and Neurosurgery
Journal Volume
99
Journal Issue
4
Pages
256-258
Date Issued
1997
Author(s)
Lin S.-M.
Abstract
We report on a 36 year-old woman who had sensorimotor and sphincter dysfunction 0.5 day after having an epidural anesthesia to deliver her baby. The patients' neurological deficits recovered gradually and she could walk without support 1.5 months after the operation. However, her neurological function deteriorated 4 months after anesthesia and a magnetic resonance imaging (MRI) study revealed spinal arachnoiditis with multiple subarachnoid cysts at the T5-7 levels. Surgical treatment consisted of lysis of adhesions and wide opening of the subarachnoid cysts. Her motor function improved after operation and she could walk without support after a 1 year follow-up. However, her sphincter and sensory abnormalities persisted for the most part. The literature on the surgical treatment of arachnoiditis with myelopathy is reviewed and the surgical indications are discussed.
Subjects
Arachnoiditis; Epidural anesthesia; Subarachnoid cyst; Surgery
SDGs
Other Subjects
anesthetic agent; adhesion; adult; arachnoiditis; article; case report; childbirth; epidural anesthesia; female; follow up; human; lysis; motor performance; neurologic disease; nuclear magnetic resonance imaging; postoperative period; sensorimotor function; sensory dysfunction; sphincter; spinal arachnoid; spinal cord cyst; spinal cord disease; spine surgery; subarachnoid space; thorax; treatment outcome; treatment planning; Adult; Anesthesia, Epidural; Arachnoiditis; Cysts; Female; Humans; Laminectomy; Magnetic Resonance Imaging; Spinal Cord Compression; Urinary Bladder, Neurogenic; Urinary Retention
Type
journal article