Clark Grace, Silbermann Elizabeth, Seals Shannon, Thiessen Jaclyn, Nesbit Gary, Yadav Vijayshree, Wooliscroft Lindsey
School of Medicine, Oregon Health & Science University, Portland, OR, 97239, USA.
Department of Neurology, Oregon Health & Science University, Portland, OR, USA; VA Portland Health Care System, Portland, OR, USA.
Mult Scler Relat Disord. 2020 Sep;44:102257. doi: 10.1016/j.msard.2020.102257. Epub 2020 Jun 2.
Spinal adhesive arachnoiditis (SAA) is a rare, but often devastating, cause of compressive myelopathy. We report a patient with SAA resulting in a longitudinally extensive T2-hyperintense spinal cord lesion with initial nodular pial and dural enhancement mimicking neurosarcoidosis. Neurologists should be aware of this entity, especially in patients who have pertinent risk factors, such as prior meningitis, spinal cord trauma, or surgery.
脊髓粘连性蛛网膜炎（SAA）是一种罕见但通常具有破坏性的压迫性脊髓病病因。我们报告了一名患有SAA的患者，其脊髓出现纵向广泛的T2高信号病变，最初软脑膜和硬脑膜呈结节状强化，类似神经结节病。神经科医生应了解这一疾病，尤其是对于有相关危险因素的患者，如既往脑膜炎、脊髓创伤或手术史者。
