We described a case of chronic spinal cystic arachnoiditis after subarachnoid haemorrhage in a 54-year-old woman with a ruptured vertebral artery aneurysm treated by coils. At three months she complained of lumbar pain. At twelve months she presented lower limbs paresthesia then a rapidly bilateral motor deficit. MR showed a spinal arachnoiditis with two compressive cysts. Surgical decompression was inefficient and after three months spinal compression symptoms worsened and MR signs were unchanged.
JourdanCArtruF: A rare and severe complication of meningeal hemorrhage: Spinal arachnoiditis with paraplegia. Agressologie31: 413–414, 1990.
3.
KazanSOzdemirO: Spinal intradural arachnoid cysts located anterior to the cervical spinal cord. Report of two cases and review of the literature. J Neurosurg91: 211–215, 1999.
4.
KokAJVerhagenWI: Spinal arachnoiditis following subarachnoid haemorrhage: Report of two cases and review of the literature. Acta Neurochir (Wien)142: 795–798; discussion 798–799, 2000.
5.
KringsTLukasR: Diagnostic and therapeutic management of spinal arachnoid cysts. Acta Neurochir (Wien)143: 227–234; discussion 234–225, 2001.
6.
MarcouxJRoyDBojanowskiMW: Acquired arachnoid cyst after a coil-ruptured aneurysm. Case illustration. J Neurosurg97: 722, 2002.
7.
SajantiJHeikkinenEMajamaaK: Transient increase in procollagen propeptides in the CSF after subarachnoid hemorrhage. Neurology55: 359–363, 2000.
8.
SajantiJMajamaaK: Detection of meningeal fibrosis after subarachnoid haemorrhage by assaying procollagen propeptides in cerebrospinal fluid. J Neurol Neurosurg Psychiatry67: 185–188, 1999.
9.
TaguchiYSuzukiR: Spinal arachnoid cyst developing after surgical treatment of a ruptured vertebral artery aneurysm: A possible complication of topical use of fibrin glue. Case report. J Neurosurg84: 526–529, 1996.
10.
TjandraJJVarmaTRWeeksRD: Spinal arachnoiditis following subarachnoid haemorrhage. Aust N Z J Surg59: 84–87, 1989.
11.
TumialanLMCawleyCMBarrowDL: Arachnoid cyst with associated arachnoiditis developing after subarachnoid hemorrhage. Case report. J Neurosurg103: 1088–1091, 2005.