カワマタ　タカカズ   KAWAMATA Takakazu   川俣　貴一    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Novel surgical management of spinal adhesive arachnoiditis by arachnoid microdissection and ventriculo-subarachnoid shunting.
掲載誌名	正式名：Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia 略　 称：J Clin Neurosci ISSNコード：1532-2653(Electronic)0967-5868(Linking)
巻・号・頁	18(12),pp.1702-4
著者・共著者	Mitsuyama Tetsuryu, Asamoto Shunji, Kawamata Takakazu
担当区分	最終著者,責任著者
発行年月	2011/12
概要	Spinal cord tethering and cerebrospinal fluid (CSF) flow disturbance are two major features in the pathophysiology of spinal adhesive arachnoiditis. We hypothesized that insufficient CSF supply to the surgically untethered spinal cord may be one of the causes of the typical post-operative recurrent extensive lesion. We report a patient with extensive spinal adhesive arachnoiditis, who was successfully treated using a novel surgical technique consisting of two procedures. First, microdissection of the thickened adherent arachnoid was performed to resolve spinal cord tethering. Next, a ventriculo-subarachnoid shunt was placed to provide sufficient flow of CSF. Clinical improvement was sustained for at least 22 months after surgery. The present surgical procedure may improve clinical outcome in patients with longitudinally extensive spinal adhesive arachnoiditis.
DOI	10.1016/j.jocn.2011.03.014
文献番号	22019435