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Arachnoid cyst with associated arachnoiditis developing after subarachnoid hemorrhage. Case report.

Abstract
The authors report the case of a 53-year-old woman in whom a T1-T2 spinal arachnoid cyst with associated arachnoiditis developed, compressing the thoracic spinal cord 1 year after the patient had suffered a Hunt and Hess Grade IV subarachnoid hemorrhage (SAH). Development of spinal arachnoiditis with or without an arachnoid cyst is a rare complication of aneurysmal SAH. Risk factors may include posterior circulation aneurysms, the extent and severity of the hemorrhage, and the need for cerebrospinal fluid diversion. Surgical drainage, shunt placement, or cyst excision, when possible, is the mainstay of treatment.
AuthorsLuis M Tumialán, C Michael Cawley, Daniel L Barrow
JournalJournal of neurosurgery (J Neurosurg) Vol. 103 Issue 6 Pg. 1088-91 (Dec 2005) ISSN: 0022-3085 [Print] United States
PMID16381198 (Publication Type: Case Reports, Journal Article)
Topics
  • Aneurysm, Ruptured (complications)
  • Arachnoid Cysts (diagnosis, etiology, surgery)
  • Arachnoiditis (diagnosis, etiology)
  • Cerebellum (blood supply)
  • Decompression, Surgical
  • Female
  • Humans
  • Intracranial Aneurysm (complications)
  • Magnetic Resonance Imaging
  • Middle Aged
  • Spinal Cord Compression (etiology)
  • Subarachnoid Hemorrhage (complications)
  • Thoracic Vertebrae

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