{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T21:27:11Z","timestamp":1760218031217,"version":"3.37.3"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Adhesive arachnoiditis has been described as a deteriorating neurological complication after neuraxial blockade; however, few pieces of literatures have reported minor cases that resemble peripheral neuropathy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 29-year-old nulliparous woman underwent an emergent cesarean delivery under spinal anesthesia at the second and third lumbar interspace (L2\/3) without any specific concerns. Subsequently, she developed left L5 and sacral first (S1) radiculopathy that persisted for 2 months. Although the neurological findings more likely indicated peripheral neuropathy, magnetic resonance imaging revealed localized adhesive arachnoiditis at the left L5\/S1 level. Her symptoms gradually improved and entirely disappeared within 2 months without any particular treatment.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The neurological symptoms that show a clear tendency to improve spontaneously do not always undergo a detailed workup. Therefore, such minor adhesive arachnoiditis might have occurred more than expected. Imaging such cases might cumulatively further the understanding of its etiology.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40981-022-00518-3","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T05:03:12Z","timestamp":1649739792000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Unilateral radiculopathy away from the puncture site due to adhesive arachnoiditis after spinal anesthesia for an emergent cesarean delivery: a case report"],"prefix":"10.1186","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7270-0781","authenticated-orcid":false,"given":"Satoshi","family":"Shimizu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"issue":"1","key":"518_CR1","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1213\/ANE.0000000000000452","volume":"120","author":"MA O'Neal","year":"2015","unstructured":"O'Neal MA, Chang LY, Salajegheh MK. Postpartum spinal cord, root, plexus and peripheral nerve injuries involving the lower extremities: a practical approach. Anesth Analg. 2015;120(1):141\u20138.","journal-title":"Anesth Analg"},{"issue":"Suppl 1","key":"518_CR2","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1111\/anae.14141","volume":"73","author":"L Maronge","year":"2018","unstructured":"Maronge L, Bogod D. Complications in obstetric anaesthesia. Anaesthesia. 2018;73(Suppl 1):61\u20136.","journal-title":"Anaesthesia"},{"issue":"4","key":"518_CR3","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1016\/j.rapm.2004.04.001","volume":"29","author":"CA Wong","year":"2004","unstructured":"Wong CA. Neurologic deficits and labor analgesia. Reg Anesth Pain Med. 2004;29(4):341\u201351.","journal-title":"Reg Anesth Pain Med"},{"issue":"12","key":"518_CR4","doi-asserted-by":"publisher","first-page":"1386","DOI":"10.1111\/anae.12017","volume":"67","author":"T Killeen","year":"2012","unstructured":"Killeen T, Kamat A, Walsh D, Parker A, Aliashkevich A. Severe adhesive arachnoiditis resulting in progressive paraplegia following obstetric spinal anaesthesia: a case report and review. Anaesthesia. 2012;67(12):1386\u201394.","journal-title":"Anaesthesia"},{"issue":"1","key":"518_CR5","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1093\/bja\/aeh009","volume":"92","author":"I Rice","year":"2004","unstructured":"Rice I, Wee MY, Thomson K. Obstetric epidurals and chronic adhesive arachnoiditis. Br J Anaesth. 2004;92(1):109\u201320.","journal-title":"Br J Anaesth"},{"issue":"11","key":"518_CR6","doi-asserted-by":"publisher","first-page":"1122","DOI":"10.1046\/j.1365-2044.2000.01547-4.x","volume":"55","author":"CR Broadbent","year":"2000","unstructured":"Broadbent CR, Maxwell WB, Ferrie R, Wilson DJ, Gawne-Cain M, Russell R. Ability of anaesthetists to identify a marked lumbar interspace. Anaesthesia. 2000;55(11):1122\u20136.","journal-title":"Anaesthesia"},{"issue":"2","key":"518_CR7","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1136\/jnnp.53.2.106","volume":"53","author":"LR Caplan","year":"1990","unstructured":"Caplan LR, Norohna AB, Amico LL. Syringomyelia and arachnoiditis. J Neurol Neurosurg Psychiatry. 1990;53(2):106\u201313.","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"6","key":"518_CR8","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1111\/anae.12248","volume":"68","author":"L Kaufman","year":"2013","unstructured":"Kaufman L. Chlorhexidine arachnoiditis. Anaesthesia. 2013;68(6):642\u20133.","journal-title":"Anaesthesia"}],"container-title":["JA Clinical Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-022-00518-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40981-022-00518-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-022-00518-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T05:05:03Z","timestamp":1649739903000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaclinicalreports.springeropen.com\/articles\/10.1186\/s40981-022-00518-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,12]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["518"],"URL":"https:\/\/doi.org\/10.1186\/s40981-022-00518-3","relation":{},"ISSN":["2363-9024"],"issn-type":[{"type":"electronic","value":"2363-9024"}],"subject":[],"published":{"date-parts":[[2022,4,12]]},"assertion":[{"value":"19 March 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 March 2022","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 April 2022","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 April 2022","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The author declares that he has no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"28"}}