Adhesive Arachnoiditis of the Lumbar Spine after Endoscopic Discectomy - A Case Report -
10.4184/jkss.2020.27.2.84
- Author:
Dae Ho HA
1
;
Sung Kyun OH
;
Baek Kyu KIM
Author Information
1. Department of Orthopedic Surgery, School of Medicine, Wonkwang University Sanbon Hospital, Gunpo, Korea
- Publication Type:Case Report
- From:Journal of Korean Society of Spine Surgery
2020;27(2):84-88
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Objective:We present a rare case of adhesive arachnoiditis that occurred after percutaneous endoscopic discectomy.Summary of Literature Review: Adhesive arachnoiditis can be caused by infection, trauma, surgery, and other iatrogenic injuries.Material and Methods: A 60-year-old man presented with acute onset of lower back pain, radiating to the right leg. His symptoms had developed 10 days previously without any trauma. He had a history of L4-5 percutaneous endoscopic discectomy 10 months ago. There was no evidence of infection in an examination of cerebrospinal fluid obtained from a spinal tap. However, magnetic resonance imaging showed peridural fibrosis, clumping of the nerve roots of the cauda equina with the pia mater, and dural enhancement at the L4-5 level.
Results:His symptoms disappeared after steroid pulse therapy.
Conclusions:Even minimally invasive surgery, such as endoscopic discectomy, can lead to adhesive arachnoiditis of the lumbar spine.
