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J Korean Soc Emerg Med > Volume 32(3); 2021 > Article
Journal of The Korean Society of Emergency Medicine 2021;32(3): 277-280.
사지의 위약감으로 내원하여 arachnoid web으로 진단된 1례
강경원1,2 , 강영준1,3,4 , 김우정1,2 , 박창배1 , 박현수1,2 , 송성욱1,2 , 강정호1,2 , 부지환1 , 이성근1,2 , 고서영1
A patient who was diagnosed with arachnoid web due to weakness in the limb: a case report
Kyeong Won Kang1,2 , Youngjoon Kang1,3,4 , Woo Jeong Kim1,2 , Chang Bae Park1 , Hyun Soo Park1,2 , Sung Wook Song1,2 , Jeong Ho Kang1,2 , Ji Hwan Bu1 , Sung Kgun Lee1,2 , Seo Young Ko1
1Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea
2Department of Emergency Medicine, Jeju National University College of Medicine, Jeju, Korea
3Department of Medical Education, Jeju National University College of Medicine, Jeju, Korea
4Institute for Medical Science of Jeju National University, Jeju, Korea
Correspondence  Youngjoon Kang ,Tel: 064-717-1903, Fax: 064-717-1097, Email: lovesuhi@hanmail.net,
Received: August 28, 2020; Revised: January 12, 2021   Accepted: March 2, 2021.  Published online: June 30, 2021.
ABSTRACT
Arachnoid web is a very rare disease that occurs when the normal flow of cerebrospinal fluid is disturbed due to abnormal formation of the arachnoid membrane in the arachnoid space. Consequently, symptoms appear in the form of various myelopathies, such as loss of strength and sensation in the upper and lower extremities, or bladder control disorders. In general, surgical treatment can be considered if symptoms are exhibited. Arachnoid web requires a high consideration of appropriate diagnosis and treatment methods. However, due to its extremely rare occurrence in actual clinical practice, it is difficult to differentiate from other diseases such as herniated intervertebral disc or subdural tumor causing spinal myelopathy. This would effectively lead to a completely different direction of treatment. To date, there have been no case reports of Arachnoid web in Korea, except for collecting and reporting the focal anterior displacement of the thoracic spine, which is a similar lesion in the spinal cord. This article therefore provides information through case reports and literature review.
Key words: Arachnoid web; Magnetic Resonance Imaging; Thoracic vertebrae; Anterior displacement
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