title: Postoperative spinal adhesive arachnoiditis presenting with hydrocephalus and cauda equina syndrome.
abstract: To our knowledge, the association between hydrocephalus and postoperative spinal adhesive arachnoiditis (SAA) has never been reported. Herein we describe an unusual case of a 45-year-old man with spinal adhesive arachnoiditis (SAA) who developed delayed-onset hypertensive hydrocephalus and cauda equina syndrome (CES) after multiple low-back surgeries. The patient's clinical presentation, imaging findings, surgical management, and the possible mechanisms are discussed in the light of the present literature.
authors.affiliation: Department of Neurosurgery, Saint-Luc University Hospital, Université Catholique de Louvain, Av. Hippocrate 10, 1200 Brussels, Belgium. guus.koerts@clin.ucl.ac.be
authors.forename: Guus
authors.initials: G
authors.lastname: Koerts
authors.forename: Herbert
authors.initials: H
authors.lastname: Rooijakkers
authors.forename: Basel
authors.initials: B
authors.lastname: Abu-Serieh
authors.forename: Guy
authors.initials: G
authors.lastname: Cosnard
authors.forename: Christian
authors.initials: C
authors.lastname: Raftopoulos
mesh_terms: D001100:Arachnoiditis / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology*; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D011128:Polyradiculopathy / Q000209:etiology*; D011183:Postoperative Complications; D000267:Tissue Adhesions / Q000150:complications