Spontaneous spinal subarachnoid hemorrhage with residual arachnoid cyst: a case report

Derle, Eda; Iyigundogdu, Ilkin; Yilmaz, Cem

doi:10.5137/1019-5149.jtn.15031-15.0

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…To the best of our knowledge, only three other cases of spinal arachnoid cyst formation secondary to spontaneous SSAH without evidence of spinal vascular malformation or intracranial hemorrhage have been reported (Table 1). [13][14][15] The other reported cases involved an intracranial SAH later presenting with a spinal arachnoid cyst. 16 Additionally, there is utility in frequent MRI during the acute presentation phase to monitor the development from hemorrhage to hematoma, to guide surgical decision-making when correlated with the observed clinical symptoms.…”

Section: Discussionmentioning

confidence: 99%

Management of a recurrent spinal arachnoid cyst presenting as arachnoiditis in the setting of spontaneous spinal subarachnoid hemorrhage: illustrative case

Hussain,

Treffy,

Reecher

et al. 2024

Journal of Neurosurgery: Case Lessons

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BACKGROUND Spontaneous spinal subarachnoid hemorrhage is a rare pathological entity with a variety of presentations depending on the underlying etiology, which often remains cryptogenic. The literature is sparse regarding the most efficacious treatment or management option, and there is no consensus on follow-up time or modalities. Additionally, there are very few reports that include operative videos, which is provided herein. OBSERVATIONS The authors present a case of spontaneous spinal subarachnoid hemorrhage without an underlying etiology in a patient with progressive myelopathy, back pain, and lower-extremity paresthesias. She presented to our institution, and because of progressive worsening of her symptoms and the development of compressive arachnoid cysts, she underwent thoracic laminectomies for evacuation of subdural fluid, fenestration of the arachnoid cysts, and lysis of significant arachnoid adhesions. Her clinical course was further complicated by the recurrence of worsening myelopathy and the development of a large compressive arachnoid cyst with further arachnoiditis. The patient underwent repeat surgical intervention for cyst decompression with an improvement in symptoms. LESSONS This case highlights the importance of long-term follow-up for these complicated cases with an emphasis on repeat magnetic resonance imaging. Unfortunately, surgical intervention is associated with short-term relief of the symptoms and no significant nonoperative management is available for these patients.

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Section: Discussionmentioning

confidence: 99%

Management of a recurrent spinal arachnoid cyst presenting as arachnoiditis in the setting of spontaneous spinal subarachnoid hemorrhage: illustrative case

Hussain,

Treffy,

Reecher

et al. 2024

Journal of Neurosurgery: Case Lessons

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“…The three-month follow-up showed no statistically significant effect. There are several case reports in which, unfortunately, conservative treatment is mentioned but without specifically mentioning the treatments used [ 2 , 14 , 30 , 39 , 62 , 63 ]. From 2015 to 2020, seven cases were reported in which patients were treated with corticosteroids.…”

Section: Discussionmentioning

confidence: 99%

Immunotherapies in chronic adhesive arachnoiditis - A case series and literature review

Hackert¹,

Maßmann²,

Sure

et al. 2021

eNeurologicalSci

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Chronic spinal adhesive arachnoiditis (CSAA) is a rare condition with limited therapeutic options. Surgical treatment proves effective in approximately 60% of cases. Conservative treatment options have not been extensively investigated. Here, we report the course of the disease, analyze the effect of immune treatments in patients with CSAA who were treated in the University Hospital Essen between 2015 and 2020, and conduct a literature review. Three out of four patients showed no improvement after treatment with corticosteroids, methotrexate, or plasmapheresis. All non-responders suffered from CSAA for several years, while one patient who had a disease duration of less than one month fully recovered. It is necessary to verify whether treatment at an early stage of the disease is better than treatment after chronic adhesion manifestation, as it interrupts the development of adhesions and all subsequent complications.

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Spontaneous spinal subarachnoid hemorrhage with residual arachnoid cyst: a case report

Cited by 2 publications

References 12 publications

Management of a recurrent spinal arachnoid cyst presenting as arachnoiditis in the setting of spontaneous spinal subarachnoid hemorrhage: illustrative case

Management of a recurrent spinal arachnoid cyst presenting as arachnoiditis in the setting of spontaneous spinal subarachnoid hemorrhage: illustrative case

Immunotherapies in chronic adhesive arachnoiditis - A case series and literature review

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