How to diagnose spinal arachnoiditis?

summary

Spinal arachnoiditis, also known as adhesive spinal arachnoiditis, is a chronic inflammatory process of the arachnoid. Under the action of some etiology, it gradually thickens the arachnoid, causes damage to the spinal cord and nerve roots, or forms cysts to block the medullary cavity, or affects the blood circulation of the spinal cord, and finally leads to dysfunction. How to diagnose spinal arachnoiditis? Next, I'd like to share my views with you.

How to diagnose spinal arachnoiditis?

The incidence of intraspinal tumors was slow, without obvious reasons. The symptoms were gradually aggravated. There was a clear involved plane of spinal cord. The number of cerebrospinal fluid cells was not increased, but the protein content was increased. X-ray plain film can show the changes of the absorption of the inner edge of pedicle and the enlargement of intervertebral foramen. Lipiodol myelography showed clearly defined plane of obstruction. MRI showed localized solid or cystic lesions in the spinal canal.

Intramedullary tumors showed localized thickening of the spinal cord, with slightly low signal intensity in tlw1 and slightly high signal intensity or obvious high signal intensity in t2w1. The signal strength is often uneven. The subarachnoid space around the lesion was narrowed or occluded. Secondary syringomyelia is common. Spinal cord compression and displacement to the opposite side are common in subdural tumors. The subarachnoid space was widened on the tumor side, but narrowed on the opposite side.

Disc herniation has a history of trauma, sudden onset, in the lumbosacral nerve root involvement, in the neck, thoracic or lumbar central type, can cause spinal cord or cauda equina nerve involvement. There was filling defect or obstruction of contrast medium in the intervertebral space. CT examination showed limited herniation of the posterior edge of the intervertebral disc. MRI showed that the disc flattened and the dural sac compressed.

matters needing attention

Light diet, avoid spicy food, give up smoking, alcohol and other bad habits. Rich diet, balanced nutrition. Houttuynia cordata Thunb has a good anti-inflammatory effect, can improve the inflammatory symptoms of meningitis caused by this disease, thus can promote the relief of meningitis headache, nausea, vomiting and other symptoms.