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August 1947

RECURRENT ARACHNOIDITIS IN THE DORSAL SPINAL REGION

Author Affiliations

ROCHESTER, N. Y.

From the Department of Surgery, Division of Neurosurgery, University of Rochester School of Medicine and Dentistry.

Arch NeurPsych. 1947;58(2):200-206. doi:10.1001/archneurpsyc.1947.02300310080006
Abstract

ALTHOUGH information is rapidly accumulating concerning spinal arachnoiditis, confusion still exists regarding many aspects of the diagnosis and prognosis of the disease. Much of this confusion arises from a failure to realize that arachnoiditis may be associated with considerable variation in its etiology, location, pathologic process, individual response and clinical course.1 The present cases are reported to illustrate in particular the exacerbation-remission type of course frequently seen in patients with spinal arachnoiditis. Such fluctuations in clinical manifestations explain many controversial elements concerning physical changes, abnormalities of the spinal fluid and prognosis.

CLINICAL MATERIAL  The 4 cases presented were selected from 8 cases of dorsal arachnoiditis of the dorsal spinal region studied at the Strong Memorial Hospital. The diagnosis was verified in 2 cases at operation and indicated in the remaining 2 cases by virtue of compatible clinical manifestations and subarachnoid studies.

REPORT OF CASES 

Case 1.  —A woman aged

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