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A Clinical and Pathological Report

MARTIN M. MANDEL, M.D.; CHARLES G. STEINMETZ III, M.D.

AMA Arch Ophthalmol. 1959;62(3):419-424.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Arachnoiditis involving the optic nerves and chiasm has been reported previously by Heuer and Vail⁴ (1931), Craig and Lillie¹ (1931), and Ryan⁷ (1943). Except for Davis and Haven's³ study of the arachnoid membrane (1931), the reported cases were clinical and surgical without microscopic study of the adhesion or cyst. The clinical concept of arachnoiditis does not appear to be clearly defined in previous reports, for Walsh⁸ stated that he was skeptical regarding its existence. The recognition of arachnoiditis is of great importance, since it frequently produces a chiasmal syndrome which simulates a suprasellar neoplasm or aneurysm. Further, with lysis of adhesions or release of cystic collections of fluid by surgery, many have obtained improvement of vision. The occurrence of a free subdural membrane with arachnoiditis of the optic nerves and chiasm after spinal anesthesia and meningitis has not been previously noted. The following case is, . . . [Full Text PDF of this Article]

Author Affiliations
Philadelphia

From the Department of Neurology (Dr. Mandel) and Department of Ophthalmology (Dr. Steinmetz) of The Jefferson Medical College.

Footnotes
Submitted for publication Feb. 20, 1959.

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