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Case report
peer-reviewed

Delayed Spinal Arachnoiditis Following Aneurysmal Subarachnoid Hemorrhage: A Case Report



Abstract

Spinal arachnoiditis (SA) is a rare and delayed complication of aneurysmal subarachnoid hemorrhage (aSAH). We present a case of delayed SA associated with thoracic and lumbar arachnoid cysts in a patient with aSAH secondary to a ruptured vertebral artery aneurysm. The patient underwent a thoracic laminectomy for decompression of the spinal cord, lysis of arachnoid adhesions, and fenestration of an arachnoid cyst. We present the pathogenesis, diagnosis, treatment, and management of spinal arachnoiditis as a rare complication of aSAH. 



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Case report
peer-reviewed

Delayed Spinal Arachnoiditis Following Aneurysmal Subarachnoid Hemorrhage: A Case Report


Author Information

Rimal H. Dossani Corresponding Author

Department of Neurosurgery, Louisiana State University, Shreveport, LA.

Devi P. Patra

Department of Neurosurgery, LSU Health Sciences Center Shreveport

Hai Sun

Department of Neurosurgery, LSU Health Sciences Center Shreveport

Department of Neurosurgery, Lsu Health

Anil Nanda

Department of Neurosurgery, LSU Health Sciences Center Shreveport

Hugo Cuellar

Department of Neurosurgery, Louisiana State Health Sciences Center Shreveport


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Delayed Spinal Arachnoiditis Following Aneurysmal Subarachnoid Hemorrhage: A Case Report


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Case report
peer-reviewed

Delayed Spinal Arachnoiditis Following Aneurysmal Subarachnoid Hemorrhage: A Case Report

  • Author Information
    Rimal H. Dossani Corresponding Author

    Department of Neurosurgery, Louisiana State University, Shreveport, LA.

    Devi P. Patra

    Department of Neurosurgery, LSU Health Sciences Center Shreveport

    Hai Sun

    Department of Neurosurgery, LSU Health Sciences Center Shreveport

    Department of Neurosurgery, Lsu Health

    Anil Nanda

    Department of Neurosurgery, LSU Health Sciences Center Shreveport

    Hugo Cuellar

    Department of Neurosurgery, Louisiana State Health Sciences Center Shreveport


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: January 06, 2018

    DOI

    10.7759/cureus.2031

    Cite this article as:

    Dossani R H, Patra D P, Sun H, et al. (January 06, 2018) Delayed Spinal Arachnoiditis Following Aneurysmal Subarachnoid Hemorrhage: A Case Report. Cureus 10(1): e2031. doi:10.7759/cureus.2031

    Publication history

    Received by Cureus: December 18, 2017
    Peer review began: December 24, 2017
    Peer review concluded: January 01, 2018
    Published: January 06, 2018

    Copyright

    © Copyright 2018
    Dossani et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Spinal arachnoiditis (SA) is a rare and delayed complication of aneurysmal subarachnoid hemorrhage (aSAH). We present a case of delayed SA associated with thoracic and lumbar arachnoid cysts in a patient with aSAH secondary to a ruptured vertebral artery aneurysm. The patient underwent a thoracic laminectomy for decompression of the spinal cord, lysis of arachnoid adhesions, and fenestration of an arachnoid cyst. We present the pathogenesis, diagnosis, treatment, and management of spinal arachnoiditis as a rare complication of aSAH. 



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Rimal H. Dossani, M.D.

Department of Neurosurgery, Louisiana State University, Shreveport, LA.

For correspondence:
rimalh@gmail.com

Devi P. Patra

Department of Neurosurgery, LSU Health Sciences Center Shreveport

Hai Sun

Department of Neurosurgery, LSU Health Sciences Center Shreveport

Anil Nanda

Department of Neurosurgery, LSU Health Sciences Center Shreveport

Hugo Cuellar

Department of Neurosurgery, Louisiana State Health Sciences Center Shreveport

Rimal H. Dossani, M.D.

Department of Neurosurgery, Louisiana State University, Shreveport, LA.

For correspondence:
rimalh@gmail.com

Devi P. Patra

Department of Neurosurgery, LSU Health Sciences Center Shreveport

Hai Sun

Department of Neurosurgery, LSU Health Sciences Center Shreveport

Anil Nanda

Department of Neurosurgery, LSU Health Sciences Center Shreveport

Hugo Cuellar

Department of Neurosurgery, Louisiana State Health Sciences Center Shreveport