Surgical treatment of thoracic arachnoiditis with multiple subarachnoid cysts caused by epidural anesthesia.

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.

journal_name

Clin Neurol Neurosurg

authors

Tseng SH,Lin SM

doi

10.1016/s0303-8467(97)00086-3

subject

Has Abstract

pub_date

1997-12-01 00:00:00

pages

256-8

issue

4

eissn

0303-8467

issn

1872-6968

pii

S0303846797000863

journal_volume

99

pub_type

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