Recurrent spinal adhesive arachnoiditis: a case report

Mattos, James Pitágoras de; André, Charles; Couto, Bernardo Antonio Murtinho

doi:10.1590/S0004-282X1988000100011

Abstracts

Spinal adhesive arachnoiditis is not an uncommon disease, usually having a monophasic course. We studied an atypical patient with recurrent spinal adhesive arachnoiditis nine years after intrathecal anesthesia and the first attack of the disease. Also noteworthy was the favorable evolution after surgery.

Aracnoidite adesiva medular não é doença incomum e habitualmente apresenta-se com curso monofásico. Estudamos o caso atípico de paciente com aracnoidite adesiva medular recidivante nove anos após raqui-anestesia e do primeiro episódio da doença. Também é digno de nota a evolução favorável que se seguiu após conduta neurocirúrgica.

James Pitágoras de Mattos; Charles André; Bernardo Antonio Murtinho Couto

Instituto de Neurologia Deolindo Couto, Federal University of Rio de Janeiro

SUMMARY

Spinal adhesive arachnoiditis is not an uncommon disease, usually having a monophasic course. We studied an atypical patient with recurrent spinal adhesive arachnoiditis nine years after intrathecal anesthesia and the first attack of the disease. Also noteworthy was the favorable evolution after surgery.

RESUMO

Aracnoidite adesiva medular não é doença incomum e habitualmente apresenta-se com curso monofásico. Estudamos o caso atípico de paciente com aracnoidite adesiva medular recidivante nove anos após raqui-anestesia e do primeiro episódio da doença. Também é digno de nota a evolução favorável que se seguiu após conduta neurocirúrgica.

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¹
Bernat JL - Intraspinal steroid therapy. Neurology 31: 168, 1981.
²
Davis L, Haven H, Givens JH, Emmett J - Effects of spinal anesthetics on the spinal cord and its membranes. JAMA 97: 1781, 1931.
³
Kennedy F, Effron AS, Perry G - The grave spinal cord paralyses caused by spinal anesthesia. Surg Gynecol Obstet 91: 385, 1950.
⁴
Lombardi G, Passerini A, Migliavacca F - Spinal arachnoiditis. Br J Radiol 35: 314, 1962.
⁵
Margolis G, Hall HE, Nowill WK - An investigation of Efocaine, a long-acting local anesthetic agent: I. Animal studies. Arch Surg 67: 715, 1953.
⁶
Paddison RM, Alpers BJ - Role of intrathecal detergents in pathogenesis of adhesive arachnoiditis. Arch Neurol Paychiat 7 1: 87, 1954.
⁷
Plum F, Olson ME - Myelitis and myelopathy. In Raker AB & Baker LH, eds: Clinical Neurology. Harper & Row, Philadelphia, 3: 1, 1981.
⁸
Sehgal AD, Tweed DC, Gardner WJ - Laboratory studies after intrathecal steroids. Arch Neurol 9: 64, 1963.
⁹
Vandam LD, Dripps RD - Exacerbation of pre-existing neurologic disease after spinal anesthesia. N Engl J Med 255: 843, 1956. 10. Winkelman NW - Neurologic symptoms following accidental intraspinal detergent injection. Neurology 2: 284, 1952.

Recurrent spinal adhesive arachnoiditis: a case report

Aracnoidite adesiva medular recidivante: registro de caso

Publication Dates

Publication in this collection
22 June 2011
Date of issue
Mar 1988

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

[1] ¹
Bernat JL - Intraspinal steroid therapy. Neurology 31: 168, 1981.

[2] ²
Davis L, Haven H, Givens JH, Emmett J - Effects of spinal anesthetics on the spinal cord and its membranes. JAMA 97: 1781, 1931.

[3] ³
Kennedy F, Effron AS, Perry G - The grave spinal cord paralyses caused by spinal anesthesia. Surg Gynecol Obstet 91: 385, 1950.

[4] ⁴
Lombardi G, Passerini A, Migliavacca F - Spinal arachnoiditis. Br J Radiol 35: 314, 1962.

[5] ⁵
Margolis G, Hall HE, Nowill WK - An investigation of Efocaine, a long-acting local anesthetic agent: I. Animal studies. Arch Surg 67: 715, 1953.

[6] ⁶
Paddison RM, Alpers BJ - Role of intrathecal detergents in pathogenesis of adhesive arachnoiditis. Arch Neurol Paychiat 7 1: 87, 1954.

[7] ⁷
Plum F, Olson ME - Myelitis and myelopathy. In Raker AB & Baker LH, eds: Clinical Neurology. Harper & Row, Philadelphia, 3: 1, 1981.

[8] ⁸
Sehgal AD, Tweed DC, Gardner WJ - Laboratory studies after intrathecal steroids. Arch Neurol 9: 64, 1963.

[9] ⁹
Vandam LD, Dripps RD - Exacerbation of pre-existing neurologic disease after spinal anesthesia. N Engl J Med 255: 843, 1956. 10. Winkelman NW - Neurologic symptoms following accidental intraspinal detergent injection. Neurology 2: 284, 1952.