Evidence map›Paper›PMID 40099069›Full record

ArticleCureus2025

Acute Progressive Spinal Arachnoid Web Without the Scalpel Sign: A Case Report.

Sho Nakamura, Shinsuke Yoshida, Ikuo Kobayashi, Tsubasa Sonoda, Masahiro Indo

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sho NakamuraDepartment of Neurosurgery, Higashi-Yamato Hospital, Higashiyamato, JPN.
Shinsuke YoshidaDepartment of Neurosurgery, Saitama Medical Center, Kawagoe, JPN.
Ikuo KobayashiDepartment of Neurosurgery, Higashi-Yamato Hospital, Higashiyamato, JPN.
Tsubasa SonodaDepartment of Neurosurgery, Higashi-Yamato Hospital, Higashiyamato, JPN.
Masahiro IndoDepartment of Neurosurgery, Higashi-Yamato Hospital, Higashiyamato, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal arachnoid web (SAW) is a chronic disorder characterized by thickened arachnoid tissue obstructing the cerebrospinal fluid flow, leading to spinal cord compression and often associated with syringomyelia. We report an uncommon case of a 77-year-old man with SAW who presented with acute progressive neurological deterioration. Spinal cord deformation and displacement identified on initial imaging prompted the use of advanced imaging techniques, such as heavily T2-weighted magnetic resonance imaging (MRI), which facilitated a timely diagnosis and subsequent surgical intervention. Microsurgical web excision with laminectomy was selected as the surgical treatment. Intraoperative findings were consistent with the typical characteristics of SAW, showing no discrepancies with the preoperative diagnosis. After the operation, the patient displayed considerable neurological recovery, including the resolution of spinal cord distortion and normalization visible on MRI. This case underscores the importance of including SAW in the differential diagnosis of acute progressive thoracic myelopathy and highlights the critical role of advanced imaging and early surgical intervention in achieving favorable clinical outcomes.

Indexed as

acute onsetscalpel signspinal arachnoid websurgerysyringomyelia

Identifiers

PMID40099069
PMCPMC11911252

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.