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A Dorsal Arachnoid Web of the Cervical Spine: A Case Report
Dorsal arachnoid web (DAW) is a rare entity, which has been reported only in the thoracic spine. The authors report the first case of DAW developing in the cervical spine. A 78-year-old man with several-year progressive gait disturbance and bilateral lower-extremity numbness was referred to our hosp...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Japan Neurosurgical Society
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769406/ https://www.ncbi.nlm.nih.gov/pubmed/35079476 http://dx.doi.org/10.2176/nmccrj.cr.2020-0300 |
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author | YAMAMOTO, Atsushi FUJIMOTO, Masashi AOKI, Kazuaki SUZUKI, Yume MIZUNO, Masaki SUZUKI, Hidenori |
author_facet | YAMAMOTO, Atsushi FUJIMOTO, Masashi AOKI, Kazuaki SUZUKI, Yume MIZUNO, Masaki SUZUKI, Hidenori |
author_sort | YAMAMOTO, Atsushi |
collection | PubMed |
description | Dorsal arachnoid web (DAW) is a rare entity, which has been reported only in the thoracic spine. The authors report the first case of DAW developing in the cervical spine. A 78-year-old man with several-year progressive gait disturbance and bilateral lower-extremity numbness was referred to our hospital on the suspicion of a non-enhancing cystic cervical spinal tumor. Magnetic resonance imaging (MRI) showed a focal indentation along the dorsal surface of the spinal cord at C7 associated with widened cerebrospinal fluid (CSF) space and increased T2-weighted signals in the cord at C5–C7. DAW was suspected, but because of the atypical location for DAW, computed tomography (CT) myelogram was performed and demonstrated an incomplete blockage of the CSF flow at C7 with neither visible abnormal membranes nor a cyst formation. Intraoperative ultrasonography and operative findings revealed that two fluttering membranes disturbed the CSF flow. The pathology of the excised membranes was arachnoid tissues. DAW should be suspected based on the characteristic MRI findings even if the location is in the lower cervical spine. This case seems to support the theory that DAW may be an incomplete or disrupted formation of an arachnoid cyst. |
format | Online Article Text |
id | pubmed-8769406 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Japan Neurosurgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-87694062022-01-24 A Dorsal Arachnoid Web of the Cervical Spine: A Case Report YAMAMOTO, Atsushi FUJIMOTO, Masashi AOKI, Kazuaki SUZUKI, Yume MIZUNO, Masaki SUZUKI, Hidenori NMC Case Rep J Case Report Dorsal arachnoid web (DAW) is a rare entity, which has been reported only in the thoracic spine. The authors report the first case of DAW developing in the cervical spine. A 78-year-old man with several-year progressive gait disturbance and bilateral lower-extremity numbness was referred to our hospital on the suspicion of a non-enhancing cystic cervical spinal tumor. Magnetic resonance imaging (MRI) showed a focal indentation along the dorsal surface of the spinal cord at C7 associated with widened cerebrospinal fluid (CSF) space and increased T2-weighted signals in the cord at C5–C7. DAW was suspected, but because of the atypical location for DAW, computed tomography (CT) myelogram was performed and demonstrated an incomplete blockage of the CSF flow at C7 with neither visible abnormal membranes nor a cyst formation. Intraoperative ultrasonography and operative findings revealed that two fluttering membranes disturbed the CSF flow. The pathology of the excised membranes was arachnoid tissues. DAW should be suspected based on the characteristic MRI findings even if the location is in the lower cervical spine. This case seems to support the theory that DAW may be an incomplete or disrupted formation of an arachnoid cyst. The Japan Neurosurgical Society 2021-06-17 /pmc/articles/PMC8769406/ /pubmed/35079476 http://dx.doi.org/10.2176/nmccrj.cr.2020-0300 Text en © 2021 The Japan Neurosurgical Society https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Case Report YAMAMOTO, Atsushi FUJIMOTO, Masashi AOKI, Kazuaki SUZUKI, Yume MIZUNO, Masaki SUZUKI, Hidenori A Dorsal Arachnoid Web of the Cervical Spine: A Case Report |
title | A Dorsal Arachnoid Web of the Cervical Spine: A Case Report |
title_full | A Dorsal Arachnoid Web of the Cervical Spine: A Case Report |
title_fullStr | A Dorsal Arachnoid Web of the Cervical Spine: A Case Report |
title_full_unstemmed | A Dorsal Arachnoid Web of the Cervical Spine: A Case Report |
title_short | A Dorsal Arachnoid Web of the Cervical Spine: A Case Report |
title_sort | dorsal arachnoid web of the cervical spine: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8769406/ https://www.ncbi.nlm.nih.gov/pubmed/35079476 http://dx.doi.org/10.2176/nmccrj.cr.2020-0300 |
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