This article on Epainassist.com has been review by a medical professional , as well as checked for facts , to assure the readers the well possible accuracy .
We observe a exacting editorial policy and we have a zero - tolerance policy regarding any degree of plagiarism . Our articles are resourced from reputable on-line page . This article may contains scientific credit . The number in the parentheses ( 1 , 2 , 3 ) are clickable links to match - reviewed scientific newspaper .
The feedback link “ Was this Article Helpful ” on this page can be used to describe subject matter that is not exact , up - to - date or questionable in any way .
This article does not put up medical advice .
The brain and spinal cord are covered with protective tissue layer called the meninges . The meninx are made of three layers – the inmost layer known as the Indian arrowroot mater , the middle layer as the arachnoid and the outmost bed as the dura mater . The space between the pia and arachnoid is call as the subarachnoid space and contains cerebrospinal fluid ( CSF ) , which leave nutrition and O to the brain and spinal corduroy . It also helps to remove invasion and respond to inflammation .
Arachnoiditisis a condition when the arachnid tissue layer inflames . The most severe type of arachnoiditis is adhesive arachnoiditis where there is scar formation in the membrane .
What is Adhesive Arachnoiditis?
Arachnoiditis means excitation of the arachnid membrane of the meninx . Adhesive Arachnoiditis is the most severe type of arachnoiditis . It is a very rarefied aesculapian condition . excitation is caused due to infection of the meningeal natural covering of spinal corduroy by bacteria , tuberculosis , syphilisand fungi . Adhesive Arachnoiditis is also do due to adverse reaction to train accidental injury to spine , epidural cortisone shot , local anesthetics injection in to cerebrospinal fluid , complication from spinal surgical procedure or inadvertent injection in the thorn . The continuing or long stand excitation leads to formation of a scar tissue , which compact boldness roots and makes their ends sticky . The scarring causes formation of compartment withinsubarachnoid spaceresulting in compromise or restricted pedigree supply and the stream of cerebrospinal fluid.(1 )
Adhesive Arachnoiditis is a chronic extreme painful condition . In additions to pain , Adhesive Arachnoiditis evidence a number of symptom and shows a complex clinical picture . It is characterized by unremitting pain and handicap . It often ends up as a inveterate noncurable and progressive disease . The advanced var. is known as arachnoiditis ossificans where the arachnoid becomes fossilized or changes into a osseous tissue . Hence , the prompt and appropriate treatment of Adhesive Arachnoiditis is extremely crucial to prevent a invalid forward motion disease of arachnoiditis ossificans .
Causes of Adhesive Arachnoiditis
The causes(2)of adhesive arachnoiditis let in :
Chemically Induced Injury Causing Adhesive Arachnoiditis
Mechanically Induced Injury Causing Adhesive Arachnoiditis
Adhesive Arachnoiditis Caused Due to Infection:
Symptoms of Adhesive Arachnoiditis
Adhesive arachnoiditis does not show typical symptom and has a number of features , majority of which are shown by the patients as :
Other Symptoms of Adhesive Arachnoiditis Include :
Less Commonly watch Symptoms of Adhesive Arachnoiditis Include :
Epidemiology of Adhesive Arachnoiditis
Adhesive Arachnoiditis is usually rare in the population . Its accurate preponderance and incidence in every country and globally is not known . It is guess that nearly 11,000 new event of Adhesive Arachnoiditis are diagnosed in United States of America . However , this number may be underrate since there are an increasing number of patients undergo surgical and anesthetic spinal procedure . In improver , some shell are undiagnosed or misdiagnosed . Thus , the actual frequency can not be influence . Generally , the females are more moved than the males . Since during saving , the more phone number of females experience spinal and epidural injection .
Prognosis of Adhesive Arachnoiditis
The successful handling of initial chemical and infectious redness of spinal membrane result in zero symptoms depend on prompt diagnosing and rapid instauration of discourse . The intervention become difficult to achieve result in zero pain once the scarring of spinal tissue layer is occurred . The ripe Adhesive Arachnoiditis is not a curable circumstance . The forecast of Adhesive Arachnoiditis is pitiable since it is a very painful shape with neurologic problems .
Diagnosis of Adhesive Arachnoiditis
The prompt diagnosing depends on physical examination and appropriate radiological as well as blood interrogation survey . forcible examination is performed by neurologist or primary upkeep physician . This procedure enable to define the extent and severity of the unwellness .
Treatment of Adhesive Arachnoiditis
Adhesive arachnoiditis is noncurable . Hence , it ’s symptoms can be only managed . The discussion scheme for Adhesive Arachnoiditis is mitigative .
Adhesive arachnoiditis is a rare medical condition . It has a debilitating outcome on the quality of life of the person suffering from it . It is principally due to the presence of severe intractable pain in the ass which is unbearable and could many a multiplication be traumatic enough that a person does suicidal endeavor . Since it is rare , hence not much enquiry is done to sympathize how to tackle this problem . The doctors too have limited knowledge of drug , which can provide relief from the severe intolerable annoyance . Thus , the hereafter of adhesive arachnoiditis is not very clear . However , to prevent incidence of iatrogenic case , there is a want to increase the sentience of the risk associate with these procedures .
References :
Also Read :
