A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature
Clinical Neurology and Neuroscience
Volume 3, Issue 3, September 2019, Pages: 66-68
Received: Jun. 9, 2019;
Accepted: Jul. 15, 2019;
Published: Jul. 30, 2019
Views 419 Downloads 92
Luo Jianxian, Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yang Yuhao, Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Lin Hongsheng, Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Follow on us
Arachnoiditis ossificans is a rare, chronic and progressive disease, especially cauda equina. Most of its causes are due to severe trauma or sequelae after spinal surgery, generally gradual calcification from the initial adhesive arachnoiditis to the end stage of ossified arachnoiditis. At present, the treatment of this rare disease standard is difficult to determine, and the clinical outcomes of conservative and surgical treatment options remain controversial. We present a 26-year-old female patient who was postoperative lumbar surgery for trauma, plain and reconstructive X-ray, CT and MRI images showed an ossified lesion within the master at the L5-S1 levels and compression of the left spinal canal at L4/5 level. We explored and decompressed spinal canal and released root nerves, while the calcified cauda equina nerve was not treated. Postoperative supportive treatment including detumescence, anti-inflammation, nutritional nerve and analgesia, the postoperative clinical course of the patient was good and the patient was very satisfied with the curative effect. This case, along with a review of literature is reported.
Arachnoiditis Ossificans, Cauda Equine, Treatment
To cite this article
A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature, Clinical Neurology and Neuroscience.
Vol. 3, No. 3,
2019, pp. 66-68.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Domenicucci M, Ramieri A, Passacantilli E, Russo N, Trasimeni G, Delfini R. Spinal arachnoiditis ossificans: report of three cases. Neurosurgery. 2004. 55 (4): 985.
Opalak CF, Opalak ME. Arachnoiditis ossificans and syringomyelia: A unique presentation. Surg Neurol Int. 2015. 6 (Suppl 24): S608-10.
Bernard P, Vanhoenacker FM, Adam N. Arachnoiditis ossificans. JBR-BTR. 2010. 93: 108.
Wijdicks CA, Williams JM. Spinal arachnoid calcifications. Clin Anat. 2007. 20(5): 521–3.
Maulucci CM, Ghobrial GM, Oppenlander ME, Flanders AE, Vaccaro AR, Harrop JS. Arachnoiditis ossificans: clinical series and review of the literature. Clin Neurol Neurosurg. 2014. 124: 16-20.
GATZKE LD, DODGE HW, DOCKERTY MB. Arachnoiditis ossificans; report of two cases. Proc Staff Meet Mayo Clin. 1957. 32 (24): 698-704.
Bagley JH, Owens TR, Grunch BH, Moreno JR, Bagley CA. Arachnoiditis ossificans of the thoracic spine. J Clin Neurosci. 2014. 21 (3): 386-9.
Dennis MD, Altschuler E, Glenn W, Wiltse LL. Arachnoiditis ossificans. A case report diagnosed with computerized axial tomography. Spine (Phila Pa 1976). 1983. 8 (1): 115-7.
Chan CC, Lau PY, Sun LK. Arachnoiditis ossificans. Hong Kong Med J. 2009. 15: 146–8.
Steel CJ, Abrames EL, O'Brien WT. Arachnoiditis Ossificans - A Rare Cause of Progressive Myelopathy. Open Neuroimag J. 2015. 9: 13-20.
Kumaran SP, Gupta K, Maddali A, Viswamitra S. Post traumatic arachnoiditis ossificans. J Emerg Trauma Shock. 2012. 5(3): 250–2.
Mello LR, Bernardes CI, Feltrin Y. Thoracic spine arachnoid ossification with and without cord cavitation. Report of three cases. J Neurosurg. 2001. 94: 115–20.
Kahler RJ, Knuckey NW, Davis S. Arachnoiditis ossificans and syringomyelia: a unique case report. J Clin Neurosci. 2000. 7 (1): 66-8.
EI Asri AC, EI Mostarchid B, Akhaddar A, Baallal H, Dao I, Naama O, Gazzaz M, Boucetta M. Arachnoiditis ossificans of the cauda equina. Br J Neurosurg. 2012. 26(4): 547-8.
Liu LD, Zhao S, Liu WG, Zhang SK. Arachnoiditis ossificans after spinal surgery. Orthopedics. 2015. 38 (5): e437-42.