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Adhesive Arachnoiditis

Subhas K Konar, Tanmoy K Maiti, Shyamal C Bir, Anil Nanda
A spinal cordectomy is a treatment option for several disorders of the spinal cord like post-traumatic syringomyelia, spinal cord tumor and myelomeningocele. We have done a systematic analysis of all reported cases of spinal cordectomy to investigate the possible outcomes and complications. A PubMed search was performed for literature published from 1949 to 2015 with search words "spinal cordectomy", "spinal cord transection" and "cordectomy for malignant spinal cord tumors" to select articles containing information about the indication, outcome and complication of spinal cordectomy performed for diverse etiologies...
November 10, 2016: Clinical Neurology and Neurosurgery
Ali Tayebi Meybodi, Michael T Lawton, Dylan Griswold, Pooneh Mokhtari, Andre Payman, Arnau Benet
OBJECTIVE The anterior temporal artery (ATA) supplies an area of the brain that, if sacrificed, does not cause a noticeable loss of function. Therefore, the ATA may be used as a donor in intracranial-intracranial (IC-IC) bypass procedures. The capacities of the ATA as a donor have not been studied previously. In this study, the authors assessed the feasibility of using the ATA as a donor for revascularization of different segments of the distal middle cerebral artery (MCA). METHODS The ATA was studied in 15 cadaveric specimens (8 heads, excluding 1 side)...
November 11, 2016: Journal of Neurosurgery
Jose Juan Sanchez Rodriguez, Jaime Torres Corzo, Dominic Shelby Cervantes, Roberto Rodriguez-DellaVecchia, Antonio Gordillo-Moscoso, Juan Manuel Vinas Rios, Martin Sanchez-Aguilar
Objective To compare the resolution rate of hydrocephalus after endoscopy (predominantly endoscopic third ventriculostomy [ETV]) using flexible endoscopes during a 5-year period in patients with a permeable and a nonpermeable subarachnoid space (SAS). Material and Methods We conducted a retrospective cohort study of the videos and records of 150 hydrocephalic patients chosen randomly who underwent ETV (and other endoscopic procedures) with a flexible endoscope. The patients were classified into two groups based on the neuroendoscopic findings...
September 29, 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
Arthur Gubian, Steffen K Rosahl
BACKGROUND: Arachnopathy following meningitis has been described in the setting of chronic spinal arachnoiditis and more recently as shunt-related progressive myelopathy due to meningeal thickening. CASE DESCRIPTION: We describe an atypical case of a patient who presented with chronic arachnopathy 5 decades after an episode of meningitis. We also review the literature concerning arachnopathies occurring in the context of early childhood meningitis. Although our case bore clinical and radiologic similarities to chronic spinal arachnoiditis and shunt-related progressive myelopathy, time to symptom onset, intraoperative findings, pathophysiology, and surgical outcome set it apart from both conditions...
September 5, 2016: World Neurosurgery
Naeem ul Haq, Mumtaz Ali, Hayat Mohammad Khan, Muhammad Ishaq, Muhammad Ishfaq Khattak
BACKGROUND: Trigeminal neuralgia is a common entity which is managed by neurosurgeons in day to day practice. Up-till now many treatment options have been adopted for it but micro-vascular decompression is much impressive in terms of pain control and recurrence rate in all of them. The objective of study was known the efficacy of micro vascular decompression for idiopathic trigeminal neuralgia by using muscle patch in terms of immediate pain relief. METHODS: This descriptive study was carried out in Neurosurgery Department lady reading hospital, Peshawar from January 2010 to December 2012...
January 2016: Journal of Ayub Medical College, Abbottabad: JAMC
Ipsita Chattopadhyay, Amarendra Kumar Jha, Sumantra Sarathi Banerjee, Srabani Basu
No abstract text is available yet for this article.
May 2016: Indian Journal of Anaesthesia
Young-Seop Park, Seung-Jae Hyun, Ki-Jeong Kim, Tae-Ahn Jahng
Intradural disc herniation is a very rare condition, and multiple intradural disc herniations have not been reported to date. The latter may be confused with intradural extramedullary (IDEM) spinal tumors. Here, we report a case of multiple intradural disc herniations masquerading as multiple IDEM tumors and review the relevant literature. We retrospectively reviewed the patient's medical chart, reviewed the intraoperative microscopic findings, and reviewed of PubMed articles on intradural disc herniation. The masses considered to be IDEM tumors were confirmed to be multiple intradural disc herniations...
March 2016: Korean Journal of Spine
Wei Shu, Yongjie Li, Wei Tao, Yongsheng Hu
A 49-year-old man with lower extremity neuropathic pain thought to be caused by spinal cord syringomyelia was treated with a combination of using spinal cord stimulation, decompression of the syrinx, relief of arachnoid adhesions and microsurgical DREZotomy. The patient had significant pain relief and has stable neurological status at follow-up.
October 2016: British Journal of Neurosurgery
Yu A Grigoryan, A R Sitnikov, G Yu Grigoryan
BACKGROUND: The tortuous vertebrobasilar artery (TVBA) often causes neurovascular conflicts in patients with trigeminal neuralgia (TN) and hemifacial spasm (HFS). Implementation of microvascular decompression (MVD) in these circumstances is hindered due to stiffness of the enlarged and dilated arteries and is often accompanied by poor outcomes. The surgical strategy in cases of trigeminal neuralgia and hemifacial spasm associated with the TVBA should be clarified in order to achieve good outcomes...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
Shahbaz Ali Khan, Baynazir Khan, Abdul Aziz Khan, Ehtisham Ahmed Khan Afridi, Shakir Mehmood, Gul Muhammad, Iqbal Hussain, Khalid Khan Zadran, Sajid Nazir Bhatti
BACKGROUND: Trigeminal Neuralgia (TGN) is the most frequently diagnosed type of facial pain. In idiopathic type of TGN it is caused by the neuro-vascular conflict involving trigeminal nerve. Microvascular decompression (MVD) aims at addressing this basic pathology in the idiopathic type of TGN. This study was conducted to determine the outcome and complications of patients with idiopathic TGN undergoing MVD. METHODS: In a descriptive case series patients with idiopathic TGN undergoing MVD were included in consecutive manner...
July 2015: Journal of Ayub Medical College, Abbottabad: JAMC
Charles F Opalak, Michael E Opalak
BACKGROUND: Arachnoiditis ossificans (AO) is a rare disorder that was differentiated from leptomeningeal calcification by Kaufman and Dunsmore in 1971. It generally presents with progressive lower extremity myelopathy. Though the underlying etiology has yet to be fully described, it has been associated with various predisposing factors including vascular malformations, previous intradural surgery, myelograms, and adhesive arachnoiditis. Associated conditions include syringomyelia and arachnoid cyst...
2015: Surgical Neurology International
Andrea Talacchi, Pietro Meneghelli, Ignazio Borghesi, Francesca Locatelli
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. METHODS: Excluding syringomyelia due to Chiari malformation, spinal cord injury, and tumors, 32 patients (mean age 44 years) were operated on between 1995 and 2013 and followed up for a mean of 53...
June 2016: European Spine Journal
Song Yun-Hai, Bao Nan, Gao Ping-Ping, Yang Bo, Chen Cheng
PURPOSE: The present study aimed to investigate the relationship between meningocele and tethered cord syndrome, diagnosis of meningocele associated with tethered cord syndrome, and when to perform surgery and the best surgical procedure. METHODS: Sixty-nine children with meningocele who were admitted to Shanghai Children's Medical Center were analyzed. The relationship between meningocele and other lesions causing tethered cord syndrome was studied by combining magnetic resonance imaging (MRI) and intraoperative findings...
November 2015: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Takuya Fukuoka, Takeshi Hayashi, Makiko Hirayama, Hajime Maruyama, Masaki Mogi, Masatsugu Horiuchi, Masaki Takao, Norio Tanahashi
The purpose of this study was to investigate the behavior of platelets (rolling and adhesion) in cerebral microvessels of angiotensin II type-2 receptor-knockout (AT2RKO) mice after transient bilateral carotid artery occlusion using intravital fluorescence microscopy. Twenty AT2RKO mice, consisting of 11 mice in the sham group and 9 mice in the ischemia reperfusion group (reperfusion after 15 min of bilateral, total carotid artery occlusion) were used in this study. The hole traversed the bone and dura mater, but arachnoid, pia mater, and cerebral parenchyma were preserved...
November 2015: Journal of Thrombosis and Thrombolysis
Noriaki Yokogawa, Hideki Murakami, Satoru Demura, Satoshi Kato, Katsuhito Yoshioka, Miyuki Yamamoto, Shoichi Iseki, Hiroyuki Tsuchiya
PURPOSE: Spinal surgery in a previously irradiated field carries increased risk of perioperative complications, such as delayed wound healing or wound infection. In addition, adhesion around the dura mater is often observed clinically. Therefore, similar to radiation-induced fibrosis--a major late-stage radiation injury in other tissue--epidural fibrosis is anticipated to occur after spinal radiation. In this study, we performed histopathologic assessment of postirradiation changes in the spinal dura mater and peridural tissue in mice...
2015: PloS One
Mehmet Resid Onen, Ulas Cikla, Ilhan Yilmaz, Mehmet Dumlu Aydin
INTRODUCTION: Cerebral arteries innervated by several systems contribute to the control of cerebral blood flow. Subarachnoid hemorrhage causes acutely developed vasospasm by various mechanical and neurochemical mechanisms, cranial parasympathetic nerve ischemia, and related stellate ganglion overdischarges. Dilatatory sensory fibers of cranial parasympathetic nerves and vasospastic fibers of stellate ganglions have a vasoregulatory effect on the cerebral arteries The aim of this study is to investigate the effect of sympathectomy on vasospasm of the middle cerebral artery...
August 2015: Neurosurgery
C Carlswärd, B Darvish, J Tunelli, L Irestedt
Epidural blood patching is an effective treatment for postdural puncture headache but has potential risks. Arachnoiditis is a very rare disabling condition and few cases have been described following an epidural blood patch. We present a case of chronic adhesive arachnoiditis in a parturient treated with a repeat epidural blood patch. A healthy 29-year-old woman had an accidental dural puncture following epidural insertion during labour. Initial treatment of postdural puncture headache with an epidural blood patch was ineffective and was therefore repeated...
August 2015: International Journal of Obstetric Anesthesia
Junya Abe, Tsutomu Ichinose, Yuzo Terakawa, Naohiro Tsuyuguchi, Takashi Tsuruno, Kenji Ohata
BACKGROUND: Postoperative subdural fluid collection sometimes occurs after clipping of cerebral aneurysms. Arachnoid plasty is used to prevent such postoperative complications; however, the optimal materials for arachnoid plasty remain unclear. In this study, we aimed to clarify the optimal materials for arachnoid plasty and report our experience of arachnoid plasty after clipping of unruptured aneurysms. METHODS: In an in vitro experiment, adhesive strengths of three materials permitted for use in the intradural space, such as collagen sheets, gelatin sponge, and oxidized cellulose sheets, were measured by assessing their water pressure resistance...
2015: Surgical Neurology International
Michael M Hakky, Almamoon I Justaniah, Carlos David, Robert J French, Dann Martin, Nathan Kwok, Sami H Erbay
BACKGROUND: Arachnoid cysts and meningeal membranes are among the differential diagnostic considerations of extra-medullary causes of thoracic myelopathy. In this case series of 7 patients, we present compressive meningeal membranes mimicking dorsal arachnoid cyst. The propensity of the meningeal membranes for the dorsal aspect of upper thoracic spine may reflect derangements of the septum posticum. OBJECTIVE: To provide the spectrum of imaging appearances and clinical presentations of pathology of the septum posticum to improve imaging utilization and to better guide treatment planning...
September 2015: Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging
Madjid Samii, Mario Giordano, Hussam Metwali, Osamah Almarzooq, Amir Samii, Venelin M Gerganov
BACKGROUND: Peritumoral edema (PTE) in skull base meningiomas correlates to the absence of an arachnoid plane and difference in outcome. In vestibular schwannomas (VS), PTE and its significance for microsurgery and outcome have never been systematically evaluated. OBJECTIVE: To evaluate whether PTE correlates with tumor characteristics, the presence of an arachnoid plane, and outcome. METHODS: A retrospective study of the institutional database...
July 2015: Neurosurgery
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