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KMID : 0388720200270020084
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Journal of Korean Society of Spine Surgery
2020 Volume.27 No. 2 p.84 ~ p.88
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Adhesive Arachnoiditis of the Lumbar Spine after Endoscopic Discectomy - A Case Report -
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Ha Dae-Ho
Oh Sung-Kyun
Kim Baek-Kyu
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Abstract
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Study Design: Case report.
Objective: We present a rare case of adhesive arachnoiditis that occurred after percutaneous endoscopic discectomy.
Summary of Literature Review: Adhesive arachnoiditis can be caused by infection, trauma, surgery, and other iatrogenic injuries.
Material and Methods: A 60-year-old man presented with acute onset of lower back pain, radiating to the right leg. His symptoms had developed 10 days previously without any trauma. He had a history of L4-5 percutaneous endoscopic discectomy 10 months ago. There was no evidence of infection in an examination of cerebrospinal fluid obtained from a spinal tap. However, magnetic resonance imaging showed peridural fibrosis, clumping of the nerve roots of the cauda equina with the pia mater, and dural enhancement at the L4-5 level.
Results: His symptoms disappeared after steroid pulse therapy.
Conclusions: Even minimally invasive surgery, such as endoscopic discectomy, can lead to adhesive arachnoiditis of the lumbar spine.
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KEYWORD
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Arachnoiditis, Percutaneous discectomy
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