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KMID : 1150320210170020084
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Journal of Korean Society of Geriatric Neurosurgery
2021 Volume.17 No. 2 p.84 ~ p.88
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Multiple recurrent arachnoid cysts with adhesive arachnoiditis following a spontaneous spinal subdural hematoma in an elderly patient: a case report with a literature review
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Yang Jun-Hyeok
Ryu Dal-Sung
Yoon Hong
Yoon Seung-Hwan
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Abstract
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Although arachnoid cysts associated with adhesive arachnoiditis are extremely rare, they can have devastating clinical outcomes. This severe form of arachnoiditis develops from fibrosis of the arachnoid membrane with subsequent adhesion of the arachnoid space. An arachnoid cyst with adhesive arachnoiditis can compress the spinal cord. Surgical decompression can be considered in case of neurologic deficits. However, surgery should be chosen carefully because it does not always guarantee favorable clinical outcomes. We present a case of recurrent arachnoid cysts with adhesive arachnoiditis following a spontaneous spinal hematoma in an elderly woman who suffered from progressive myelopathy despite 2 adhesiolysis treatments.
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KEYWORD
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Arachnoiditis, Arachnoid cysts, Recurrence, Spinal subdural hematoma, Aged
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