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CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2025; 14(01): 059-062
DOI: 10.1055/s-0042-1756508
Case Report

Surgical Management of Lumbar Adhesive Arachnoiditis Postmeningitis: A Bermuda Triangle?—Case Report and Review of Literature

Tejaswi Vadlamani 
1   Department of Neurosurgery, Paras Hospitals, Gurgaon, Haryana, India
,
Nishant S. Yagnick
1   Department of Neurosurgery, Paras Hospitals, Gurgaon, Haryana, India
,
Rakesh Kagita
1   Department of Neurosurgery, Paras Hospitals, Gurgaon, Haryana, India
,
Sumit Sinha
1   Department of Neurosurgery, Paras Hospitals, Gurgaon, Haryana, India
2   All India Institute of Medical Sciences, New Delhi, India
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Abstract

Spinal arachnoiditis can occur as a delayed sequel of meningitis. Cerebrospinal fluid flow disturbances and adhesive loculations can cause cord compression and traction on roots causing the symptoms. The surgical treatment of this condition is often considered a limited option, because of the high chances of recurrence of symptoms and adhesions, often considered as surgical failure. Here, we report a patient with extensive lumbar–sacral adhesive arachnoiditis successfully treated with limited adhesiolysis under neuromonitoring and cystoperitoneal shunt placement.

Keywords

spinal adhesive arachnoiditis - adhesiolysis - cystoperitoneal shunt - neuromonitoring


Publikationsverlauf

Artikel online veröffentlicht:
06. Januar 2023

© 2023. Neurological Surgeons' Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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