Arachnoiditis


Also found in: Dictionary, Thesaurus, Medical, Wikipedia.
Related to Arachnoiditis: adhesive arachnoiditis

Arachnoiditis

 

an inflammation of the arachnoid membrane of the brain or spinal cord. Arachnoiditis was first described by the German physician Böninghausen (1897), and spinal arachnoiditis was described by the German physician A. Schlosinger (1898). Arachnoiditis may develop as a complication of influenza, typhoid, tuberculosis, syphilis, and other infectious diseases. It also appears in connection with inflammations of the ear or paranasal cavities, cranial and spinal injuries, and chronic poisonings (lead, arsenic). The clinical symptoms of arachnoiditis vary with the region of the brain in which it develops. The most common symptom of cerebral arachnoiditis is headache, sometimes accompanied by vomiting—less often by epileptic seizures, weakness in the extremities, impairment of vision and hearing, strabismus, diplopia, vertigo, and unsteady gait. In spinal arachnoiditis, the nerve roots and nerves, and sometimes spinal tissue as well, are injured; pain occurs in the trunk, arms, and legs, and occasionally there is weakness in the arms and legs.

Treatment is aimed at lowering intracranial pressure and decreasing inflammation. Vitamin B, iodine preparations, antibiotics, and hexamethylenetetramine are prescribed. When the acute stage passes, hydrogen sulfide and radon baths, mud, and sometimes radiotherapy are used. If the arachnoiditis originates in a limited area of the meninges, the adhesions may be dissected surgically.

REFERENCES

“Spinal’nye arakhnoidity i peripakhameningity.” In Osnovy prak-ticheskoi neirokhirurgii. Edited by A. L. Polenov and I. S. Bab-chin. Leningrad, 1954. Pages 418–23.
Khodos, Kh. G. “Tserebral’nye arakhnoidity.” In Trudy l-go Vserossiiskogo s”ezda nevropalologov i psikhiatrov, vol. 1. Moscow, 1963. Pages 57–65.

V. S. ROTENBERG

References in periodicals archive ?
Symptomatic spinal cord kinking due to focal adhesive arachnoiditis, with ossification of the ligamentum flavum: a case report.
Successful treatment of spinal arachnoiditis due to coccidioidomycosis.
23) During the chronic phase of the infection, MRI sequences may not exhibit enhancement but continue to show signs of arachnoiditis such as the adhesions of the nerve roots.
It became clear to me then that here was someone who was determined to get arachnoiditis understood and action taken to assist sufferers.
Early diagnosis and treatment are important for the prevention of myelopathy, meningitis, spinal abcess, and arachnoiditis.
Hoyland JA, Freemont AJ, Denton J, Thomas AM, McMillan JJ, Jayson MI 1998 Retained surgical swab debris in post-laminectomy arachnoiditis and peridural fibrosis Journal of Bone and Joint Surgery 70-B (4) 659-62
She is like my safety blanket," said Lizanda, who is wheelchair bound due to severe degeneration of her lumbar spine and a condition called arachnoiditis.
Theoretically, epidural infections, chemical or infectious meningitis and/or arachnoiditis can develop (5,6).
As soon as Amanda regained consciousness following surgery, she presented classic signs of neurotoxic poisoning and ultimately developed a rare form of arachnoiditis, a painful condition which causes widespread damage to the nervous system, injuries which are progressive, intensely painful and irreversible.
The aim of the study was to present different neurological conditions ranging from meningoencephalitis, spinal arachnoiditis, sagittal sinus thrombosis and transverse myelitis to white matter involvement and raised intracranial pressure and to discuss managing and response to therapy of neurobrucellosis.
6,11,17) The reactive inflammatory process can cause arteritis, arachnoiditis, and ependymitis.