Arachnoiditis

Arachnoiditis - serous inflammation of the arachnoid of the brain or spinal cord. Arachnoiditis arises in connection with acute and chronic infections, intoxications, inflammatory diseases of the sinuses, trauma. Often to establish the etiology of arachnoiditis difficult. The disease is chronic.
The clinical picture. When cerebral arachnoiditis found cerebral symptoms: headache, vomiting, dizziness. Often in the beginning of the disease are fever, pronouncedly meningeal syndrome (see Meningitis). Focal symptoms are determined by the localization process. When arachnoiditis convex surface of the brain, often there seizures. In the localization process in the field of optic chiasm comes reduction of view, in severe cases - blindness. Arachnoiditis posterior cranial fossa characterized by severe cerebral symptoms: headache, vomiting, dizziness, ataxia , and nystagmus. Cranial nerves (V, VII, VIII pair) affects the most often when arachnoiditis cerebellopontine angle.
Arachnoiditis spinal cord is manifested by pain in the places of nerve roots at the level of destruction and provodnikova disorders (violation of movements, sensitivity). The process is most often localized on the level of the thoracic and lumbar segments and in the field horse-tail.
For the diagnosis of arachnoiditis important to study neurological status and fields of vision , and ocular fundus, an x-ray of the skull (Turkish saddle, accessory sinuses of the nose), examination of the cerebrospinal fluid (often determined by the increase in cellular composition, increasing the number of protein, the pressure increase to 250-300 mm waters. Art.).
Forecast for life favorable in the case of early treatment.
Treatment with anti-inflammatory drugs: 40% solution of hexamethylenetetramine (urotropine) intravenous 5-10 ml of 40% solution of glucose in 10-15 ml for 10-15 days, penicillin 300 000 IU 2-3 times a day (at the rate of up to 10 million IU); resolving tools: potassium iodide inside (6.0 X X 200.0 1 tablespoon 3 times a day) ; dehydration means: 25% solution of magnesium sulfate to 5-10 ml intramuscularly within 5-10 days: antisense: a Dimedrol to 0.05 g 2 times a day for 10 to 15 days.
To resolve adhesions and cysts on the testimony is neurosurgical treatment.

Arachnoiditis (arachnoiditis; synonym: arachnid, serous meningitis, limited, spilled, cystic arachnoiditis, meningitis arachnoideae) - serous-productive inflammation of the arachnoid of the brain (cerebral arachnoiditis) and spinal cord (spinal arachnoiditis). Among the causes A. the first is infection; frequent cause a is also injured.
Pathological anatomy. Spider sheath with arachnoiditis cloudy, thickened, often with overlapping white fibrous plaques. More often inflammatory process goes on arachnoid membrane from the inside of the hard shell. Often found adhesions between the arachnoid and soft shells, between them and the matter of the brain. Adhesions in the arachnoid membrane leads to the formation of cysts.
Cerebral arachnoiditis is a exudative-proliferative process dominated proliferative component. The most expressed changes are observed in the frontal lobes and in the field of the chiasm. When cerebral A. often comes internal hydrocephaly.
The clinical picture. There are cerebral and spinal arachnoiditis, the distribution process is limited and spilled.