We have experienced 3 cases of localized cervical adhesive arachnoiditis. 2 of them had history of operation under spinal anesthesia. Paresthetic pain and weakness are the commonest presenting symptoms and signs in our cases. Myelographically, findings are simulating the intramedullary lesion in 2 cases. With surgical intervention, 2 cases have good results.
Adhesives* ; Anesthesia, Spinal ; Arachnoid* ; Arachnoiditis*

No abstract available.
Arachnoid* ; Arachnoiditis* ; Magnetic Resonance Imaging* ; Tuberculosis*

No abstract available.
Arachnoid* ; Arachnoiditis* ; Magnetic Resonance Imaging* ; Tuberculosis*

Until now, we do not have a definitive treatment for intractable postherpetic neuralgia (PHN). But, there is relatively strong evidence for the efficacy of intrathecal methylprednisolone injection in the treatment of intractable PHN. In spite of the effectiveness, many clinicians hesitate to use intrathecal steroids due to adverse effects such as adhesive arachnoiditis. We experienced two cases of temporary severe burning pain after intrathecal steroid injection for treatment of PHN. On the next day, the patients did not have any burning pain, and they were discharged with decreased pain associated with PHN.
Adhesives ; Arachnoid ; Arachnoiditis ; Burns* ; Humans ; Methylprednisolone ; Neuralgia, Postherpetic* ; Steroids

High dose intravenous methyl prednisolone was administered to patients with multiple sclerosis (4), transverse myelitis (6), and arachnoiditis (I). Almost complete remission was noted in 5 cases (4 with transverse myelitis and one with multiple sclerosis) and partial improvement in 3 patients (2 with multiple sclerosis and I with arachnoiditis ) within 3 days after therapy. The benefits of this therapy, however, was not that dramatic when started late after the onset of neurologic deficits.
Arachnoid ; Arachnoiditis ; Humans ; Multiple Sclerosis ; Myelitis, Transverse ; Neurologic Manifestations ; Prednisolone

OBJECTIVE: Most cases of syringomyelia with arachnoid scarring were related to spinal trauma or inflammatory reaction. The aim of this study is to analyze the influence of arachnoid scarring on the altered dynamics of cerebrospinal fluid(CSF) and determine the proper treatment. METHODS: Between Jan 1991 and Dec 2001, We have operated on 15 patients with progressive neurological deficits associated with syringomyelia. We analyze the clinical presentations, radiographic and magnetic resonance images. RESULTS: As to cause of syringomyelia, 11 patients were related with trauma and 4 patients were tuberculous meningitis. Shunting procedures underwent in 11 patients and 5 showed clinical improvement. Subarachnoid adhesiolysis and expansile duraplasty were performed in 4 patients and 3 experienced clinical improvement. The 6 patients with shunting procedures were neurologically deteriorated and 4 were reoperated. CONCLUSION: The arachnoid scarring interferes with CSF flow and causes syringomyelia. Successful long-term outcome in the surgical treatment of syringomyelia caused by focal arachnoid scar appeared to require microsurgical dissection of scar and expansile duroplasty. For extensive arachnoid scarring over multiple spinal levels or after previous surgery, shunting procedure may be indicated only.
Arachnoid* ; Arachnoiditis* ; Cerebrospinal Fluid ; Cicatrix ; Humans ; Syringomyelia* ; Tuberculosis, Meningeal

Authors experienced the myelotomy for the syringomyelia in 3 cases. Moreover a recent case who underwent the craniovertebral decompression with myelotomy was associated with Arnold-Chiari malformation. Post-operative courses were uneventful in two but a case with the thoracic myelotomy became paraparetic after 5 years of follow up due to the spinal arachnoiditis. It seems that the careful studies, including the ventriculography and/or C-T scan are necessary to find the hind-brain malformation and to give the appropriate management.
Arachnoid ; Arachnoiditis ; Arnold-Chiari Malformation ; Decompression ; Follow-Up Studies ; Syringomyelia*

Syringomyelia is caused by heterogeneous etiologies. Syringomyelia secondary to arachnoiditis complicated by tuberculous meningitis is rarely reported entity, which has not been reported in Korea. We present a patient who had recovered from tuberculous meningitis and developed some years later a progessive disorder of the spinal cord clinically resembling syringomyelia, which was subsequently confirmed by MRI. The patient was treated with syringo-subarachnoid shunt.
Arachnoid ; Arachnoiditis ; Humans ; Korea ; Magnetic Resonance Imaging ; Spinal Cord ; Syringomyelia* ; Tuberculosis, Meningeal*

Two cases of pseudoglaucoma were presented in this paper, which had been caused by lues and arteriosclerosis. We discussed the pathogenesis of pseudoglaucoma and reviewed the literature. Besides compression of the optic nerve and chiasm, ischemic optic neuropathy due to arteriosclerosis, lues, methanol intoxication, recurrent blood loss. and so forth, may produce optic nerve excavation and visual field defect without increase of IOP. We had much difficulty in explaining Rheese's view of our case, in which the optic canal was irregulary narrowed. We are of the opinion that narrowing of the optic canal may suggest secondary pathologic change due to chronic luetic optochiasmatic arachnoiditis.
Arachnoid ; Arachnoiditis ; Arteriosclerosis ; Methanol ; Optic Nerve ; Optic Neuropathy, Ischemic ; Visual Fields

Authors experienced the lumboperitoneal shunt in 13 patients. There were 8 communicating hydrocephaluses, 2 benign intracranial hypertensions, 2 cerebrospinal fluid fistulas and 1 postcraniectomy bulging. Lumboperitoneal shunt was thought to be a very simple extracranial procedure which reduce the complications from ventriculoperitoneal shunt such as subdural fluid collection, subdural hematoma, slit ventricle syndrome and conversion from communicating hydrocephalus to non-communicating hydrocephalus. The efficacy of this procedure was documented and literatures were reviewed.
Arachnoiditis ; Cerebrospinal Fluid ; Fistula ; Hematoma, Subdural ; Humans ; Hydrocephalus ; Slit Ventricle Syndrome ; Ventriculoperitoneal Shunt