Syringomyelia and spinal arachnoiditis resulting from aneurysmal subarachnoid hemorrhage: Report of two cases and review of the literature

Taylor J Abel; Matthew A Howard; Arnold Menezes

doi:10.4103/0974-8237.135227

Back

Syringomyelia and spinal arachnoiditis resulting from aneurysmal subarachnoid hemorrhage: Report of two cases and review of the literature

Journal article

Open access

Peer reviewed

Syringomyelia and spinal arachnoiditis resulting from aneurysmal subarachnoid hemorrhage: Report of two cases and review of the literature

Taylor J Abel, Matthew A Howard and Arnold Menezes

Journal of craniovertebral junction and spine, Vol.5(1), pp.47-51

2014

DOI: 10.4103/0974-8237.135227

PMCID: PMC4085912

PMID: 25013348

Files and links (1)

url

https://doi.org/10.4103/0974-8237.135227View

Published (Version of record) Open Access

Abstract

Syringomyelia resulting from arachnoiditis secondary to aneurysmal subarachnoid hemorrhage (SAH) is an extremely rare clinical entity with few cases reported in the literature. The presentation, management, and pathogenesis of syringomyelia in this setting is poorly understood. We describe the presentation, radiology, management, and outcomes in two patients with syringomyelia resulting from arachnoiditis secondary to aneurysmal SAH and review the literature on this rare condition. Case number 1 was treated successfully with syrinx-subarachnoid shunt after extensive lysis of adhesions. Case number 2 was treated with syringoperitoneal shunt. Both patients had radiographic decreased syrinx size postoperatively. These patients add to the small literature on syringomyelia occurring secondary to SAH-associated arachnoiditis. The radiographic outcomes demonstrate that in the appropriately selected patient, syrinx-subarachnoid or syringoperitoneal shunting are viable options.

Paraplegia

spinal arachnoiditis

syringomyelia

subarachnoid hemorrhage

Case Report

Details

Title: Subtitle: Syringomyelia and spinal arachnoiditis resulting from aneurysmal subarachnoid hemorrhage: Report of two cases and review of the literature
Creators: Taylor J Abel - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
Matthew A Howard - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
Arnold Menezes - Department of Neurosurgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
Resource Type: Journal article
Publication Details: Journal of craniovertebral junction and spine, Vol.5(1), pp.47-51
DOI: 10.4103/0974-8237.135227
PMID: 25013348
PMCID: PMC4085912
NLM abbreviation: J Craniovertebr Junction Spine
ISSN: 0974-8237
eISSN: 0976-9285
Publisher: Medknow Publications & Media Pvt Ltd; India
Language: English
Date published: 2014
Academic Unit: Neurology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology
Record Identifier: 9984020761102771

Metrics

20 Record Views

8 Times Cited - Web of Science