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  • Title: Subarachnoid-subarachnoid bypass for spinal adhesive arachnoiditis.
    Author: Tachibana T, Moriyama T, Maruo K, Inoue S, Arizumi F, Yoshiya S.
    Journal: J Neurosurg Spine; 2014 Nov; 21(5):817-20. PubMed ID: 25170651.
    Abstract:
    The authors report a case of adhesive arachnoiditis (AA) and arachnoid cyst successfully treated by subarachnoid to subarachnoid bypass (S-S bypass). Arachnoid cysts or syringes sometimes compress the spinal cord and cause compressive myelopathy that requires surgical treatment. However, surgical treatment for AA is challenging. A 57-year-old woman developed leg pain and gait disturbance. A dorsal arachnoid cyst compressed the spinal cord at T7-9, the spinal cord was swollen, and a small syrinx was present at T9-10. An S-S bypass was performed from T6-7 to T11-12. The patient's gait disturbance resolved immediately after surgery. Two years later, a small arachnoid cyst developed. However, there was no neurological deterioration. The myelopathy associated with thoracic spinal AA, subarachnoid cyst, and syrinx improved after S-S bypass.
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