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Rehabilitation Practice and Science

Translated Title

脊髓攝影後導致的脊椎蜘蛛膜炎之探討：病例報告與文獻回顧

Abstract

Spinal arachnoiditis (SA) is a rare disease. However, it would lead to severe disability. The most common causes of SA are post-myelographied retention of pantopaque and complications of spinal operations. The most common anatomical level is addressed to the lumbar spine. Clinically, the symptoms were diversiform, including poor-controlled pain, numbness or weakness of one or more extremities, paresthesias, bowel incontinence, bladder incontinence, and retention of urine or stool, etc. The fluctuation between progression and improvement was also noted. Because the symptoms failed to improve as time went by, many scholars viewed SA as a kind of cancer. The clinical presentation is not compatible with the signs and symptoms of spinal cord compression. Therefore, the patients didn’t receive proper treatments because their symptoms were misunderstood as results from psychical problems. The present article discussed not only the pathological mechanism of the post-myelographic SA but also the clinical symptoms and signs of SA, and the special findings on MRI images were also included. We hope to help our patients to rejoin the society by the way of early diagnosis and early treatment.

Language

Traditional Chinese

First Page

49

Last Page

56

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