Arachnoiditis

Patel, Romy; Agarwal, Deepti

doi:10.1007/978-3-319-99124-5_141

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2021

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“…Arachnoiditis is a rare disorder causing chronic pain because of scar tissue build-up, from the inflammatory process, causing adhesion of the nerve roots to the arachnoid lining of the meninges [ 1 ]. The pathophysiology includes invasion of fibrinous and oligo-cellular exudates that result from inflammatory processes in the pia arachnoid layer as a result of an initial insult [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Idiopathic Arachnoiditis of the Cauda Equina: A Case Report from Tanzania

Assey

Sadiq

et al. 2021

Case Rep Neurol

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Arachnoiditis is a rare clinical entity that usually presents with severe debilitating radiating pain that can pose a challenge in diagnosis especially in areas without appropriate imaging modalities. We present a 26-year-old male with progressive lower back pain with radiation to the lower extremities, aggravated by movement and touch. We diagnosed idiopathic arachnoiditis based on cerebrospinal fluid analysis and magnetic resonance imaging. He was managed with a 5-day course of methylprednisolone and analgesics with a good outcome. Severe back pain without a specific cause in a young patient should be investigated with proper imaging modalities and lumbar puncture if warranted to evaluate the cause.

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Section: Introductionmentioning

confidence: 99%