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Scalpellum occulta: A rare case of dorsal spinal arachnoid web without the scalpel sign.
Choi, Joo Won; DeSimone, Kulani E; Dacumos, Vianca Mae; Hoshide, Reid R; Qiao, Yang; Hui, Ferdinand K.
Afiliación
  • Choi JW; John A. Burns School of Medicine, University of Hawai'i at Manoa, 651 Ilalo Street, Honolulu, HI, 96813, USA.
  • DeSimone KE; John A. Burns School of Medicine, University of Hawai'i at Manoa, 651 Ilalo Street, Honolulu, HI, 96813, USA.
  • Dacumos VM; College of Tropical Agriculture and Human Resources, University of Hawai'i at Manoa, 3050 Maile Way, Honolulu, HI 96822, USA.
  • Hoshide RR; Department of Neurosurgery, The Queen's Medical Center, 550 South Beretania Street, Honolulu, HI 96813, USA.
  • Qiao Y; Department of Diagnostic and Interventional Imaging, The University of Texas Health Science Center at Houston, 7000 Fannin Street Suite #1200, Houston, TX 77030, USA.
  • Hui FK; Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030, USA.
Radiol Case Rep ; 19(4): 1552-1555, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38317702
ABSTRACT
Spinal arachnoid web is a rare condition characterized by extramedullary bands of arachnoid tissue at the level of the dorsal thoracic spinal cord that may lead to progressive, permanent neurological deficits. To date, this condition has been radiographically characterized by a scalpel sign, which has been pathognomonic in all reported cases of spinal arachnoid webs. In this case, we report the first known patient with confirmed spinal arachnoid web without radiographic evidence of the scalpel sign. In reporting our finding, we encourage a higher clinical suspicion for spinal arachnoid web in patients presenting with progressive thoracic myelopathy following trauma, and radiographic evidence of ventrally displaced spinal cord and turbulent cerebrospinal fluid flow, even in the absence of a scalpel sign.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Radiol Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Radiol Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos