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首页> 外文期刊>British journal of neurosurgery >Spinal arachnoid cyst associated with arachnoiditis following subarachnoid haemorrhage in adult patients: A case report and literature review
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Spinal arachnoid cyst associated with arachnoiditis following subarachnoid haemorrhage in adult patients: A case report and literature review

机译：蛛网膜下腔出血后蛛网膜炎伴发蛛网膜囊肿的病例报告及文献复习

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Objective. Arachnoiditis is an inflammatory process resulting with the fibrosis of arachnoid mater. It can vary in severity from mild thickenings to catastrophic adhesions that ruins subarachnoid space. As a result, arachnoid cysts can be formed. Arachnoid cyst induced by symptomatic spinal arachnoiditis is a rare complication of subarachnoid haemorrhages. In this article, we aimed to present a case of spinal arachnoid cyst formation following subarachnoid haemorrhage and examine similar cases in the literature. Case Report. Forty-six years old, previously healthy female patient has been treated medically for headaches due to perimesencephalic subarachnoid bleeding. Approximately two and a half months later, she started to have severe headaches and diplopia. We detected hydrocephalus and performed ventriculoperitoneal shunt surgery. Two months later, she started to have complaints of weakness in her lower extremities. On neurological examination, she had paraparesis and on spinal magnetic resonance imaging she had an arachnoid cyst lengthening from C7 to 12 and compressing the spinal cord posteriorly. We performed partial laminectomy, drainage of arachnoid cyst and replacement of cystopleural T tube shunt. On follow-up, her lower extremity strength has ameliorated. She was taken into a physical therapy and rehabilitation programme. Three months later she was able to walk with a crutch. Conclusion. Subarachnoiditis and associated arachnoid cyst can cause severe morbidity. This rare situation (which especially occurs following subarachnoid haemorrhage of posterior fossa) should be known and physicians should keep in mind that it requires urgent surgical procedure.
机译：目的。蛛网膜炎是导致蛛网膜的纤维化的炎性过程。从轻度增厚到破坏蛛网膜下腔的灾难性粘连，其严重程度可能有所不同。结果，可以形成蛛网膜囊肿。有症状的脊柱蛛网膜炎引起的蛛网膜囊肿是蛛网膜下腔出血的罕见并发症。在本文中，我们旨在介绍蛛网膜下腔出血后脊髓蛛网膜囊肿形成的病例，并在文献中研究类似病例。案例报告。过去健康的女性患者今年46岁，已因头颅中脑蛛网膜下腔出血而头痛治疗。大约两个半月后，她开始出现严重的头痛和复视。我们检测到脑积水并进行了脑室－腹膜分流手术。两个月后，她开始抱怨下肢无力。在神经系统检查中，她患有截瘫，在脊髓磁共振成像中，她的蛛网膜囊肿从C7延长至12，并向后压迫脊髓。我们进行了部分椎板切除术，蛛网膜囊肿引流和膀胱胸膜T管分流术的更换。随访时，她的下肢力量有所改善。她被带进了物理治疗和康复计划。三个月后，她得以with着拐杖走路。结论。蛛网膜下腔炎和相关的蛛网膜囊肿可导致严重的发病。这种罕见的情况（尤其是在蛛网膜下腔蛛网膜下腔出血后发生的情况）应该是已知的，医生应该记住，这需要紧急外科手术。

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