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Spinal adhesive arachnoiditis

R A Dolan1

  • 1Hamilton Hospitals, McMaster University Medical Centre, Ontario, Canada.

Surgical Neurology
|June 1, 1993
PubMed
Summary
This summary is machine-generated.

Spinal adhesive arachnoiditis is often caused by lumbar disc issues and nonabsorbable contrast agents. Surgical intervention offers pain relief, and using absorbable contrast materials like Iohexol Parenteral can prevent this condition.

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Area of Science:

  • Neurosurgery
  • Radiology

Background:

  • Spinal adhesive arachnoiditis is a debilitating condition.
  • Identifying etiological factors is crucial for prevention and treatment.

Purpose of the Study:

  • To present cases of spinal adhesive arachnoiditis.
  • To identify common causes and evaluate treatment efficacy.
  • To recommend preventative measures.

Main Methods:

  • Retrospective review of 41 cases of spinal adhesive arachnoiditis.
  • Analysis of etiological factors, including lumbar disc lesions and contrast material use.
  • Evaluation of surgical treatment outcomes.

Main Results:

  • Lumbar disc lesions, investigations, surgical treatment, and nonabsorbable contrast materials were identified as common etiological factors.

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  • Surgical treatment led to improvement in pain and disability for most patients.
  • The use of absorbable, nonirritative contrast materials like Iohexol Parenteral is associated with reduced arachnoiditis occurrence.

    • Conclusions:

    • Spinal adhesive arachnoiditis is frequently linked to lumbar disc pathology and nonabsorbable contrast agents.
    • Surgery is the recommended treatment, offering significant pain and disability relief.
    • Employing absorbable contrast materials like Iohexol Parenteral can substantially decrease the incidence of arachnoiditis.