Clark G, Silbermann E, Seals S, Thiessen J, Nesbit G, Yadav V, Wooliscroft L. Spinal adhesive arachnoiditis mimicking sarcoid myelitis with nodular dural enhancement: A case report.
Mult Scler Relat Disord 2020;
44:102257. [PMID:
32535503 DOI:
10.1016/j.msard.2020.102257]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2020] [Revised: 05/28/2020] [Accepted: 05/31/2020] [Indexed: 01/30/2023]
Abstract
Spinal adhesive arachnoiditis (SAA) is a rare, but often devastating, cause of compressive myelopathy. We report a patient with SAA resulting in a longitudinally extensive T2-hyperintense spinal cord lesion with initial nodular pial and dural enhancement mimicking neurosarcoidosis. Neurologists should be aware of this entity, especially in patients who have pertinent risk factors, such as prior meningitis, spinal cord trauma, or surgery.
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