Arachnoiditis ossificans is a uncommon disorder, is generally associated with neurologic deficits, but patients could be only mild sintomatic, regardless of the degree of ossification. Unenhanced CT has been well show to be sensitive for the disorder, useful to evaluate the full extenstion of the ossified mass and their remotion if surgical intervention is needed. On MRI imaging the manifestations could be minimal and variable, being important to access another pathologic conditions (arachnoid cysts, intramedullary cysts and syringomyelia).
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Cureus
September 2024
Internal Medicine, Government Medical College Patiala, Patiala, IND.
Arachnoiditis ossificans (AO) is a rare and complex neurological condition characterized by pathological calcification or ossification of the arachnoid membrane. Arachnoiditis ranks as the third most frequent cause of failed back surgery syndrome (FBSS). This narrative review explores the evolving radiological approaches in its diagnosis and monitoring.
View Article and Find Full Text PDFCureus
September 2023
Department of Neurosurgery, American British Cowdray Neurological Center, Mexico City, MEX.
Arachnoiditis ossificans (AO), a very rare entity that can cause severe neurological deficit, is associated with an inflammatory response and compressive effect on the spinal cord. A 65-year-old woman with diagnosis of arachnoiditis ossificans, who had a past medical history of neurocysticercosis diagnosed eight years before the actual onset that was accompanied by obstructive hydrocephalus and required bilateral ventriculoperitoneal shunts, presented with lower limb paresis. The spinal CT reported large calcified subdural spinal plaques.
View Article and Find Full Text PDFSkeletal Radiol
May 2024
Department of Radiology, Lausanne University Hospital and University of Lausanne, Rue du Bugnon 46, 1011, Lausanne, VD, Switzerland.
AJNR Am J Neuroradiol
February 2023
Department of Radiology and Imaging (C.S.G., J.L.C., S.T.J.), Hospital for Special Surgery, New York, New York
Arachnoiditis ossificans is an uncommon end-stage appearance of chronic adhesive arachnoiditis. Imaging features of arachnoiditis ossificans are characteristic and should be diagnosed to avoid unnecessary intervention and guide prognosis and management. In this case series, we retrospectively analyzed CT and MR imaging of 41 patients to identify common patterns of intrathecal ossification and present the common etiologies.
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