title: Syringomyelia associated with spinal arachnoiditis treated by partial arachnoid dissection and syrinx-far distal subarachnoid shunt.
abstract: The authors describe a new modified surgical approach to minimize the postoperative recurrence of a syrinx after surgery to treat syringomyelia associated with spinal adhesive arachnoiditis in two cases. Both patients presented with progressive gait disturbance without any remarkable history, and spinal magnetic resonance imaging revealed a syrinx and broad irregular disappearance of the subarachnoid space and/or deformity of the cord. We successfully performed a partial arachnoid dissection and syrinx-far distal subarachnoid shunt for both cases.
authors.affiliation: Department of Neurosurgery, Osaka University Medical School, Yamadaoka, Osaka, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Iwatsuki
authors.affiliation: Department of Neurosurgery, Osaka University Medical School, Yamadaoka, Osaka, Japan.
authors.forename: Toshiki
authors.initials: T
authors.lastname: Yoshimine
authors.affiliation: Department of Neurosurgery, Osaka University Medical School, Yamadaoka, Osaka, Japan.
authors.forename: Yu-Ichiro
authors.initials: Y
authors.lastname: Ohnishi
authors.affiliation: Department of Neurosurgery, Osaka University Medical School, Yamadaoka, Osaka, Japan.
authors.forename: Koshi
authors.initials: K
authors.lastname: Ninomiya
authors.affiliation: Department of Neurosurgery, Osaka University Medical School, Yamadaoka, Osaka, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Moriwaki
authors.affiliation: Department of Neurosurgery, Osaka University Medical School, Yamadaoka, Osaka, Japan.
authors.forename: Toshika
authors.initials: T
authors.lastname: Ohkawa
keywords: arachnoiditis; shunt; syringomyelia; untethering