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Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
Published on: June 18, 2021
[The presyrinx state due to adhesive arachnoiditis: a case report]
Yasuhiro Nakata1, Akira Yagishita, Makoto Taniguchi
1Department of Neuroradiology, Tokyo Metropolitan Neurological Hospital, 2-6-1 Musashidai, Fuchu city, Tokyo 183-0042, Japan.
Summary
A presyrinx state, a precursor to syringomyelia, was successfully treated in a 66-year-old woman. Surgical intervention resolved symptoms and prevented further progression of the spinal cord condition.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Adhesive arachnoiditis can lead to serious spinal cord complications.
- The presyrinx state is an early, reversible stage preceding syringomyelia.
Observation:
- A 66-year-old woman presented with gait disturbance and sensory deficits due to adhesive arachnoiditis.
- Thoracic spine MRI revealed cord swelling, intramedullary signal changes, and spinal canal compression from an arachnoid cyst.
Findings:
- Surgical detachment of arachnoid adhesions and CSF flow restoration improved neurological deficits.
- Postoperative MRI confirmed reduced thoracic cord swelling, normalized signal intensity, and decreased cyst size.
Implications:
- Early diagnosis and surgical treatment of the presyrinx state can prevent the development of syringomyelia.
- This case highlights the importance of recognizing and intervening in the presyrinx state for favorable outcomes.
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