A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature

Luo Jianxian; Yang Yuhao; Lin Hongsheng

doi:doi:10.11648/j.cnn.20190303.12

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A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature

Luo Jianxian, Yang Yuhao, Lin Hongsheng

Published in Clinical Neurology and Neuroscience (Volume 3, Issue 3)

Received: 9 June 2019 Accepted: 15 July 2019 Published: 30 July 2019

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Abstract

Arachnoiditis ossificans is a rare, chronic and progressive disease, especially cauda equina. Most of its causes are due to severe trauma or sequelae after spinal surgery, generally gradual calcification from the initial adhesive arachnoiditis to the end stage of ossified arachnoiditis. At present, the treatment of this rare disease standard is difficult to determine, and the clinical outcomes of conservative and surgical treatment options remain controversial. We present a 26-year-old female patient who was postoperative lumbar surgery for trauma, plain and reconstructive X-ray, CT and MRI images showed an ossified lesion within the master at the L5-S1 levels and compression of the left spinal canal at L4/5 level. We explored and decompressed spinal canal and released root nerves, while the calcified cauda equina nerve was not treated. Postoperative supportive treatment including detumescence, anti-inflammation, nutritional nerve and analgesia, the postoperative clinical course of the patient was good and the patient was very satisfied with the curative effect. This case, along with a review of literature is reported.

Published in	Clinical Neurology and Neuroscience (Volume 3, Issue 3)
DOI	10.11648/j.cnn.20190303.12
Page(s)	66-68
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Arachnoiditis Ossificans, Cauda Equine, Treatment

References

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[2]	Opalak CF, Opalak ME. Arachnoiditis ossificans and syringomyelia: A unique presentation. Surg Neurol Int. 2015. 6 (Suppl 24): S608-10.
[3]	Bernard P, Vanhoenacker FM, Adam N. Arachnoiditis ossificans. JBR-BTR. 2010. 93: 108.
[4]	Wijdicks CA, Williams JM. Spinal arachnoid calcifications. Clin Anat. 2007. 20(5): 521–3.
[5]	Maulucci CM, Ghobrial GM, Oppenlander ME, Flanders AE, Vaccaro AR, Harrop JS. Arachnoiditis ossificans: clinical series and review of the literature. Clin Neurol Neurosurg. 2014. 124: 16-20.
[6]	GATZKE LD, DODGE HW, DOCKERTY MB. Arachnoiditis ossificans; report of two cases. Proc Staff Meet Mayo Clin. 1957. 32 (24): 698-704.
[7]	Bagley JH, Owens TR, Grunch BH, Moreno JR, Bagley CA. Arachnoiditis ossificans of the thoracic spine. J Clin Neurosci. 2014. 21 (3): 386-9.
[8]	Dennis MD, Altschuler E, Glenn W, Wiltse LL. Arachnoiditis ossificans. A case report diagnosed with computerized axial tomography. Spine (Phila Pa 1976). 1983. 8 (1): 115-7.
[9]	Chan CC, Lau PY, Sun LK. Arachnoiditis ossificans. Hong Kong Med J. 2009. 15: 146–8.
[10]	Steel CJ, Abrames EL, O'Brien WT. Arachnoiditis Ossificans - A Rare Cause of Progressive Myelopathy. Open Neuroimag J. 2015. 9: 13-20.
[11]	Kumaran SP, Gupta K, Maddali A, Viswamitra S. Post traumatic arachnoiditis ossificans. J Emerg Trauma Shock. 2012. 5(3): 250–2.
[12]	Mello LR, Bernardes CI, Feltrin Y. Thoracic spine arachnoid ossification with and without cord cavitation. Report of three cases. J Neurosurg. 2001. 94: 115–20.
[13]	Kahler RJ, Knuckey NW, Davis S. Arachnoiditis ossificans and syringomyelia: a unique case report. J Clin Neurosci. 2000. 7 (1): 66-8.
[14]	EI Asri AC, EI Mostarchid B, Akhaddar A, Baallal H, Dao I, Naama O, Gazzaz M, Boucetta M. Arachnoiditis ossificans of the cauda equina. Br J Neurosurg. 2012. 26(4): 547-8.
[15]	Liu LD, Zhao S, Liu WG, Zhang SK. Arachnoiditis ossificans after spinal surgery. Orthopedics. 2015. 38 (5): e437-42.

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APA Style

Luo Jianxian, Yang Yuhao, Lin Hongsheng. (2019). A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature. Clinical Neurology and Neuroscience, 3(3), 66-68. https://doi.org/10.11648/j.cnn.20190303.12

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ACS Style

Luo Jianxian; Yang Yuhao; Lin Hongsheng. A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature. Clin. Neurol. Neurosci. 2019, 3(3), 66-68. doi: 10.11648/j.cnn.20190303.12

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AMA Style

Luo Jianxian, Yang Yuhao, Lin Hongsheng. A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature. Clin Neurol Neurosci. 2019;3(3):66-68. doi: 10.11648/j.cnn.20190303.12

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@article{10.11648/j.cnn.20190303.12,
  author = {Luo Jianxian and Yang Yuhao and Lin Hongsheng},
  title = {A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature},
  journal = {Clinical Neurology and Neuroscience},
  volume = {3},
  number = {3},
  pages = {66-68},
  doi = {10.11648/j.cnn.20190303.12},
  url = {https://doi.org/10.11648/j.cnn.20190303.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20190303.12},
  abstract = {Arachnoiditis ossificans is a rare, chronic and progressive disease, especially cauda equina. Most of its causes are due to severe trauma or sequelae after spinal surgery, generally gradual calcification from the initial adhesive arachnoiditis to the end stage of ossified arachnoiditis. At present, the treatment of this rare disease standard is difficult to determine, and the clinical outcomes of conservative and surgical treatment options remain controversial. We present a 26-year-old female patient who was postoperative lumbar surgery for trauma, plain and reconstructive X-ray, CT and MRI images showed an ossified lesion within the master at the L5-S1 levels and compression of the left spinal canal at L4/5 level. We explored and decompressed spinal canal and released root nerves, while the calcified cauda equina nerve was not treated. Postoperative supportive treatment including detumescence, anti-inflammation, nutritional nerve and analgesia, the postoperative clinical course of the patient was good and the patient was very satisfied with the curative effect. This case, along with a review of literature is reported.},
 year = {2019}
}

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TY  - JOUR
T1  - A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature
AU  - Luo Jianxian
AU  - Yang Yuhao
AU  - Lin Hongsheng
Y1  - 2019/07/30
PY  - 2019
N1  - https://doi.org/10.11648/j.cnn.20190303.12
DO  - 10.11648/j.cnn.20190303.12
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 66
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PB  - Science Publishing Group
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AB  - Arachnoiditis ossificans is a rare, chronic and progressive disease, especially cauda equina. Most of its causes are due to severe trauma or sequelae after spinal surgery, generally gradual calcification from the initial adhesive arachnoiditis to the end stage of ossified arachnoiditis. At present, the treatment of this rare disease standard is difficult to determine, and the clinical outcomes of conservative and surgical treatment options remain controversial. We present a 26-year-old female patient who was postoperative lumbar surgery for trauma, plain and reconstructive X-ray, CT and MRI images showed an ossified lesion within the master at the L5-S1 levels and compression of the left spinal canal at L4/5 level. We explored and decompressed spinal canal and released root nerves, while the calcified cauda equina nerve was not treated. Postoperative supportive treatment including detumescence, anti-inflammation, nutritional nerve and analgesia, the postoperative clinical course of the patient was good and the patient was very satisfied with the curative effect. This case, along with a review of literature is reported.
VL  - 3
IS  - 3
ER  -

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Author Information

Luo Jianxian

Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yang Yuhao

Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China
Lin Hongsheng

Department of Orthopedics, The First Affiliated Hospital of Jinan University, Guangzhou, China

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Plain Text BibTeX RIS

APA Style

Luo Jianxian, Yang Yuhao, Lin Hongsheng. (2019). A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature. Clinical Neurology and Neuroscience, 3(3), 66-68. https://doi.org/10.11648/j.cnn.20190303.12

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ACS Style

Luo Jianxian; Yang Yuhao; Lin Hongsheng. A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature. Clin. Neurol. Neurosci. 2019, 3(3), 66-68. doi: 10.11648/j.cnn.20190303.12

Copy | Download

AMA Style

Luo Jianxian, Yang Yuhao, Lin Hongsheng. A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature. Clin Neurol Neurosci. 2019;3(3):66-68. doi: 10.11648/j.cnn.20190303.12

Copy | Download

@article{10.11648/j.cnn.20190303.12,
  author = {Luo Jianxian and Yang Yuhao and Lin Hongsheng},
  title = {A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature},
  journal = {Clinical Neurology and Neuroscience},
  volume = {3},
  number = {3},
  pages = {66-68},
  doi = {10.11648/j.cnn.20190303.12},
  url = {https://doi.org/10.11648/j.cnn.20190303.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20190303.12},
  abstract = {Arachnoiditis ossificans is a rare, chronic and progressive disease, especially cauda equina. Most of its causes are due to severe trauma or sequelae after spinal surgery, generally gradual calcification from the initial adhesive arachnoiditis to the end stage of ossified arachnoiditis. At present, the treatment of this rare disease standard is difficult to determine, and the clinical outcomes of conservative and surgical treatment options remain controversial. We present a 26-year-old female patient who was postoperative lumbar surgery for trauma, plain and reconstructive X-ray, CT and MRI images showed an ossified lesion within the master at the L5-S1 levels and compression of the left spinal canal at L4/5 level. We explored and decompressed spinal canal and released root nerves, while the calcified cauda equina nerve was not treated. Postoperative supportive treatment including detumescence, anti-inflammation, nutritional nerve and analgesia, the postoperative clinical course of the patient was good and the patient was very satisfied with the curative effect. This case, along with a review of literature is reported.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - A Case of Cauda Equina Arachnoiditis Ossificans and Review the Literature
AU  - Luo Jianxian
AU  - Yang Yuhao
AU  - Lin Hongsheng
Y1  - 2019/07/30
PY  - 2019
N1  - https://doi.org/10.11648/j.cnn.20190303.12
DO  - 10.11648/j.cnn.20190303.12
T2  - Clinical Neurology and Neuroscience
JF  - Clinical Neurology and Neuroscience
JO  - Clinical Neurology and Neuroscience
SP  - 66
EP  - 68
PB  - Science Publishing Group
SN  - 2578-8930
UR  - https://doi.org/10.11648/j.cnn.20190303.12
AB  - Arachnoiditis ossificans is a rare, chronic and progressive disease, especially cauda equina. Most of its causes are due to severe trauma or sequelae after spinal surgery, generally gradual calcification from the initial adhesive arachnoiditis to the end stage of ossified arachnoiditis. At present, the treatment of this rare disease standard is difficult to determine, and the clinical outcomes of conservative and surgical treatment options remain controversial. We present a 26-year-old female patient who was postoperative lumbar surgery for trauma, plain and reconstructive X-ray, CT and MRI images showed an ossified lesion within the master at the L5-S1 levels and compression of the left spinal canal at L4/5 level. We explored and decompressed spinal canal and released root nerves, while the calcified cauda equina nerve was not treated. Postoperative supportive treatment including detumescence, anti-inflammation, nutritional nerve and analgesia, the postoperative clinical course of the patient was good and the patient was very satisfied with the curative effect. This case, along with a review of literature is reported.
VL  - 3
IS  - 3
ER  -

Copy | Download