Smith Maiya, Ketterling Morgan, Gallaer Alexander, Kelner Rowan, Raps Christine, Beaulieu Allison M
University of Utah, Department of Emergency Medicine, Salt Lake City, Utah.
Clin Pract Cases Emerg Med. 2024 Aug;8(3):300-301. doi: 10.5811/cpcem.7189.
We describe a case of a 57-year-old male with multiple medical comorbidities who presented to the emergency department with a two-week history of upper back pain with associated numbness. Physical exam demonstrated sensory loss in a bilateral third and fourth thoracic dermatome distribution. The diagnosis of spinal arachnoid web was made based on neurological exam and imaging findings.
Spinal arachnoid web is a rare diagnosis, but consideration is important, as early recognition and surgical intervention can resolve symptoms and prevent worsening neurological sequelae.
我们描述了一例57岁男性患者，该患者有多种内科合并症，因上背部疼痛伴麻木两周就诊于急诊科。体格检查显示双侧第三和第四胸段皮节分布区感觉丧失。根据神经学检查和影像学检查结果诊断为脊髓蛛网膜网。
脊髓蛛网膜网是一种罕见的诊断，但值得重视，因为早期识别和手术干预可以缓解症状并防止神经后遗症恶化。
