About: Percutaneous Fenestration of a Spinal Arachnoid Web Using an Intrathecal Catheter: Effect on Cerebrospinal Fluid Flow and Clinical Status

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About: Percutaneous Fenestration of a Spinal Arachnoid Web Using an Intrathecal Catheter: Effect on Cerebrospinal Fluid Flow and Clinical Status Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Percutaneous Fenestration of a Spinal Arachnoid Web Using an Intrathecal Catheter: Effect on Cerebrospinal Fluid Flow and Clinical Status
Creator	Gomez, Camilo Qureshi, Adnan Siddiq, Farhan Bains, Bains, K Bains, Navpreet Balasetti, K Balasetti, Vamshi Camilo, • Cousins, Joseph Farhan Siddiq, • From, Gomez, R Ks Balasetti, Vamshi Navpreet, • Neurologist, Clinical Neurologist, Interventional Salame, Karim Vamshi, •
Source	Elsevier; Medline; PMC
abstract	ABSTRACT Background Spinal arachnoid webs are a rare anatomic entity manifesting as neuropathic back pain, compressive myelopathy, radiculopathy and hydrocephalus. Typical treatments include hemi or full laminectomy with durotomy and microsurgical resection which can result in secondary scarring, and recurrent blockage of cerebrospinal fluid flow perpetuating the cycle. Case Description A 66-year-old woman presented with progressively worsening gait and memory. Magnetic resonance imaging (MRI) demonstrated an arachnoid web in the high thoracic region, causing cerebrospinal fluid flow obstruction and hydrocephalus. A standard lumbar drainage catheter was introduced percutaneously into the lumbar thecal sac, and advanced in a cephalad direction, across the arachnoid web, to the high thoracic region. The patient underwent continuous cerebrospinal fluid drainage through this catheter for a total of three days, displaying measurable clinical improvement that persisted at the three months follow up visit. Phase-contrast MRI demonstrated interval reconstitution of dorsal synchronous cerebrospinal fluid flow at the 2nd thoracic vertebral level, both on day three, as well as at the three months control imaging study. Conclusion This minimally invasive approach seems useful in achieving restoration of spinal fluid flow at the thoracic region when the underlying blockage results from an arachnoid web and leads to quantifiable clinical improvement.
has issue date	2020-06-24(xsd:dateTime)
bibo:doi	10.1016/j.wneu.2020.06.119
bibo:pmid	32592965
has license	els-covid
sha1sum (hex)	d986f97890e620bcff2319e3c240413724b083b7
schema:url	https://doi.org/10.1016/j.wneu.2020.06.119
resource representing a document's title	Percutaneous Fenestration of a Spinal Arachnoid Web Using an Intrathecal Catheter: Effect on Cerebrospinal Fluid Flow and Clinical Status
has PubMed Central identifier	PMC7311907
has PubMed identifier	32592965
schema:publication	World Neurosurg
resource representing a document's body	covid:d986f97890e620bcff2319e3c240413724b083b7#body_text
is schema:about of	named entity 'Cerebrospinal Fluid' covid:arg/d986f97890e620bcff2319e3c240413724b083b7 named entity 'entity' named entity 'arachnoid' named entity 'hydrocephalus' named entity 'Spinal' named entity 'hydrocephalus' named entity 'microsurgical' named entity 'cerebrospinal fluid' named entity 'laminectomy' named entity 'Intrathecal' named entity 'Arachnoid' named entity 'resection' named entity 'quadriceps' named entity 'cerebrospinal fluid' named entity 'drainage catheter' named entity 'cerebrospinal fluid' named entity 'NaCl' named entity 'obstructive hydrocephalus' named entity 'T2-weighted' named entity '2.0' named entity 'catheter' named entity 'percutaneous intervention' named entity 'functional mobility' named entity 'Computed tomography' named entity 'Drainage Catheter' named entity 'long-lasting' named entity 'catheters' named entity 'guidewire' named entity 'arachnoid' named entity 'endoscope' named entity 'lumbar' named entity 'memory deficits' named entity 'spinal cord' named entity 'catheter' named entity 'peritoneal' named entity 'catheter' named entity 'neoplasm' named entity 'cognitive function' named entity 'hypertonic saline' named entity 'guidewire' named entity 'hypertension' named entity 'arachnoid' named entity 'thoracic' named entity 'lower limbs' named entity 'percutaneous' named entity 'epidural' named entity 'lyse' named entity 'percutaneous' named entity 'shunt' named entity 'pharmacologic' named entity 'hypertonic saline' named entity 'spinal surgery' named entity 'functional mobility' named entity 'numbness and tingling' named entity 'Institutional Review Board' named entity 'lumbar puncture' named entity 'cardiac arrhythmias' named entity 'pressure gradient' named entity 'resection' named entity 'percutaneous' named entity 'arachnoid' named entity 'edema'

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