دورية أكاديمية
أعرض في EDS

Delayed spinal arachnoiditis with syringomyelia following aneurysmal subarachnoid haemorrhage: a case report with patient experience.

التفاصيل البيبلوغرافية
العنوان: Delayed spinal arachnoiditis with syringomyelia following aneurysmal subarachnoid haemorrhage: a case report with patient experience.
المؤلفون: Jain N; Faculty of Medicine, Riga Stradinš University, 16 Dzirciema Street, Riga, LV-1007, Latvia. nityapkl@gmail.com., Jaunozolina L; Faculty of Medicine, Riga Stradinš University, 16 Dzirciema Street, Riga, LV-1007, Latvia., Putraima I; Children Clinical University Hospital, Vienības Gatve 45, Riga, LV-1064, Latvia., Auslands K; Department of Neurosurgery, Riga East Clinical University Hospital, 2 Hipokrata Street, Riga, LV-1038, Latvia.; Department of Neurology and Neurosurgery, Riga Stradinš University, 16 Dzirciema Street, Riga, LV-1007, Latvia., Millers A; Department of Neurology and Neurosurgery, Riga Stradinš University, 16 Dzirciema Street, Riga, LV-1007, Latvia.
المصدر: Spinal cord series and cases [Spinal Cord Ser Cases] 2024 Jun 10; Vol. 10 (1), pp. 41. Date of Electronic Publication: 2024 Jun 10.
نوع المنشور: Case Reports; Journal Article
اللغة: English
بيانات الدورية: Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101680856 Publication Model: Electronic Cited Medium: Internet ISSN: 2058-6124 (Electronic) Linking ISSN: 20586124 NLM ISO Abbreviation: Spinal Cord Ser Cases Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : Nature Publishing Group, [2015]-
مواضيع طبية MeSH: Arachnoiditis*/complications , Arachnoiditis*/etiology , Syringomyelia*/etiology , Syringomyelia*/diagnostic imaging , Syringomyelia*/complications , Syringomyelia*/surgery , Subarachnoid Hemorrhage*/complications , Subarachnoid Hemorrhage*/surgery , Subarachnoid Hemorrhage*/etiology, Humans ; Female ; Adult
مستخلص: Background and Importance: Syringomyelia, or the formation of fluid-filled cysts within the spinal cord, associated with delayed spinal arachnoiditis is an uncommon complication of aneurysmal subarachnoid haemorrhage. To date, about 18 cases have been reported in medical literature, with just two reported in patients under the age of 35 years.
Clinical Presentation: A 27-year-old female patient complained of sudden, severe headaches in the occipital region, nuchal rigidity, and drowsiness when she presented at our institution. A head computed tomography scan revealed intraventricular bleeding in the lateral and fourth ventricles with more extensive haemorrhaging in the frontal horns. A left posterior inferior cerebellar artery (PICA) aneurysm was confirmed via digital subtraction angiogram, and endovascular embolization was done. Two years later, the patient reported intense pain in the lower back along with symptoms suggestive of spinal cord compression. Spinal magnetic resonance imaging (MRI) showed spinal adhesions from C1 to L4, syringomyelia with some vasogenic oedema extending from T3 to T9 level, and a cyst in the lumbar region. Consequently, a right hemilaminectomy was performed along with microsurgical release of arachnoid adhesions and placement of a subdural drain. Radiological and symptomatic improvements were observed. Since then, the patient's clinical condition has remained stable during the past three years of follow-up visits.
Conclusions: Literature on optimal treatment modalities and patient prognosis is scarce and debated. The time for symptom improvement depends on the level and extent of spinal cord involvement. Rehabilitation may be required for most patients, as complete symptomatic recovery may not be attainable.
(© 2024. The Author(s).)
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تواريخ الأحداث: Date Created: 20240610 Date Completed: 20240610 Latest Revision: 20240826
رمز التحديث: 20240826
مُعرف محوري في PubMed: PMC11165000
DOI: 10.1038/s41394-024-00654-1
PMID: 38858362
قاعدة البيانات: MEDLINE
الوصف
تدمد:2058-6124
DOI:10.1038/s41394-024-00654-1