Department of Rehabilitation Medicine, Box 356490, BB-928 Health Sciences Bldg, University of Washington, Seattle, WA 98195-6940, USA.
PM R. 2013 Jun;5(6):539-41. doi: 10.1016/j.pmrj.2013.01.011.
Spinal arachnoiditis is a known but very rare late complication of subarachnoid hemorrhage (SAH). Since 1943, 17 cases of spinal arachnoiditis after intracranial hemorrhage have been reported internationally. The vast majority of these cases were related to aneurysmal SAH. All previously published cases have involved spinal arachnoiditis at the cervical and thoracic levels. In this report, we present an adult woman with lumbar spinal arachnoiditis causing cauda equina syndrome as a result of posterior circulation aneurysmal SAH. We believe this is the first reported case of this specific condition causing cauda equina syndrome.
蛛网膜粘连性脊髓炎是一种已知的但非常罕见的蛛网膜下腔出血(SAH)的迟发性并发症。自 1943 年以来,国际上已经报道了 17 例颅内出血后发生的蛛网膜粘连性脊髓炎。这些病例绝大多数与动脉瘤性蛛网膜下腔出血有关。所有以前发表的病例都涉及颈椎和胸椎的蛛网膜粘连性脊髓炎。在本报告中,我们介绍了一例成人女性,因后循环动脉瘤性 SAH 导致马尾神经根综合征的腰椎蛛网膜粘连性脊髓炎。我们认为这是首例报告的这种特殊情况导致马尾神经根综合征的病例。