Clarifying rarity versus underreporting of idiopathic spinal arachnoid web: An analysis of the available evidence and the need for extended postoperative outcome reports
- Department of Neurosurgery, Bicetre University Hospital, Kremlin Bicetre, France,
- Department of Surgery, Faculty of Medicine, Umm Al Qura University, Makkah, Saudi Arabia.
Abdulgadir Bugdadi, Department of Neurosurgery, Bicetre University Hospital, Kremlin Bicetre, France.
DOI:10.25259/SNI_713_2023Copyright: © 2023 Surgical Neurology International This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
How to cite this article: Bugdadi A1,2, Herbrecht A1, Aghakhani N1, Parker F1. Clarifying rarity versus underreporting of idiopathic spinal arachnoid web: An analysis of the available evidence and the need for extended postoperative outcome reports. Surg Neurol Int 13-Oct-2023;14:367
How to cite this URL: Bugdadi A1,2, Herbrecht A1, Aghakhani N1, Parker F1. Clarifying rarity versus underreporting of idiopathic spinal arachnoid web: An analysis of the available evidence and the need for extended postoperative outcome reports. Surg Neurol Int 13-Oct-2023;14:367. Available from: https://surgicalneurologyint.com/surgicalint-articles/12590/
We read the recent article by Tran et al.,[
In light of the case report by Tran et al.,[
First, a central theme in discussions about SAW pertains to the ongoing uncertainty regarding its rarity versus potential underreporting.[
After carefully examining the number of cases stemming from the various international university health centers, it becomes evident that the idiopathic SAW is likely a rare phenomenon rather than an underreported one.
Second, the current body of literature about SAW predominantly consists of case reports elucidating immediate and/or short-term postoperative outcomes. Similarly, available case series often report the short- to intermediate-term clinical statuses postoperatively. The longest reported postoperative outcome analysis, a recent contribution by our research team, encompassed an observation period extending to 9.1 years.[
Patient’s consent is not required as there are no patients in this study.
There are no conflicts of interest.
The authors confirm that they have used artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript or image creations.
The views and opinions expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Journal or its management. The information contained in this article should not be considered to be medical advice; patients should consult their own physicians for advice as to their specific medical needs.
1. Adib SD, Schittenhelm J, Kurucz P, Hauser TK, Tatagiba M. Surgical management of syringomyelia associated with spinal arachnoid web: Strategies and outcomes. Neurosurg Rev. 2023. 46: 152
2. Ben Ali H, Hamilton P, Zygmunt S, Yakoub KM. Spinal arachnoid web-a review article. J Spine Surg. 2018. 4: 446-50
3. Bugdadi A, Herbrecht A, Alzahrani A, Aghakhani N, Parker F. Long-term outcome of surgical treatment for idiopathic spinal arachnoid web: A case series. Neurochirurgie. 2023. 69: 101455
4. Chellathurai A, Balasubramaniam S, Gnanasihamani S, Ramasamy S, Durairajan J. Pathophysiology and grading of the ventral displacement of dorsal spinal cord spectrum. Asian Spine J. 2018. 12: 224-31
5. Hirai T, Taniyama T, Yoshii T, Mizuno K, Okamoto M, Inose H. Clinical outcomes of surgical treatment for arachnoid web: A case series. Spine Surg Relat Res. 2019. 3: 43-8
6. Mallucci CL, Stacey RJ, Miles JB, Williams B. Idiopathic syringomyelia and the importance of occult arachnoid webs, pouches and cysts. Br J Neurosurg. 1997. 11: 306-9
7. Nisson PL, Hussain I, Härtl R, Kim S, Baaj AA. Arachnoid web of the spine: A systematic literature review. J Neurosurg Spine. 2019. 31: 1-10
8. Paramore CG. Dorsal arachnoid web with spinal cord compression: Variant of an arachnoid cyst? Report of two cases. J Neurosurg. 2000. 93: 287-90
9. Pham N, Ebinu JO, Karnati T, Hacein-Bey L. Neuroimaging findings and pathophysiology of dorsal spinal arachnoid webs: Illustrative case. J Neurosurg Case Lessons. 2021. 1: CASE2142
10. Tran TD, Vo PD, Truong TV, Ho TD. A case of neurosurgical treatment of thoracic dorsal arachnoid web. Surg Neurol Int. 2023. 14: 210
11. Voglis S, Romagna A, Germans MR, Carreno I, Stienen MN, Henzi A. Spinal arachnoid web-a distinct entity of focal arachnopathy with favorable long-term outcome after surgical resection: Analysis of a multicenter patient population. Spine J. 2022. 22: 126-35