Thoracic spine arachnoiditis and arachnoid cysts following aneurysmal subarachnoid haemorrhage: A Case Report

Neurological syndromes following arachnoid cyst is a rear complication of aneurysmal subarachnoid haemorrhage which is less than 1%. The best treatment option is complete removal of these bubbles. Posterior cysts are accessible to complete surgical resection without spinal cord damage. Anterior cysts are often managed with a cystoperitoneal shunt. However, Patients with associated arachnoiditis usually experience an incomplete recovery. We report a 48-year-old male who complained of gait disturbances and dysuria 16 months after subarachnoid haemorrhage. Clinical history, plain radiographs, MRI study of the patient was collected. A review of the literature was also described. The patient was managed by fenestration of the arachnoid cysts, symptoms gradually resolved in his gait disturbance and muscle strength. However, dysuria was not improved. In our daily practice, Arachnoid cysts due to adhesive arachnoiditis should be recognized as a late complication of subarachnoid haemorrhage.