Evidence map›Paper›PMID 41569732›Full record

ArticleJournal of neurosurgery. Case lessons2026

Arachnoid web presenting with acute myelopathy after minor trauma and subtle imaging findings: illustrative case.

Shinichiro Tsukamoto, Gaku Hidaka, Masashi Uchida, Yuichiro Kushiro, Sora Yazaki, Risa Sakuyama, Hiroshi Takasuna, Hidemichi Itoh, Takashi Matsumori, Ichiro Takumi and 2 more

Abstract read
In one paragraph

Article in Journal of neurosurgery. Case lessons, 2026. 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

12 authors.

Shinichiro TsukamotoDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.
Gaku HidakaDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.
Masashi UchidaDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.ORCID 0000-0002-6010-1554
Yuichiro KushiroDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.
Sora YazakiDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.ORCID 0009-0005-4204-9747
Risa SakuyamaDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.
Hiroshi TakasunaDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.
Hidemichi ItohDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.
Takashi MatsumoriDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.
Ichiro TakumiDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.ORCID 0000-0001-5045-8077
Toshihiro UedaDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.ORCID 0000-0002-1148-1853
Hidetoshi MurataDepartment of Neurosurgery, St. Marianna University School of Medicine, Kawasaki.ORCID 0000-0001-7356-979X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArachnoid web (AW) is a rare entity characterized by a thickened band of arachnoid membrane on the dorsal surface of the spinal cord, often producing compressive myelopathy. The diagnosis is sometimes challenging, as imaging findings may be subtle. OBSERVATIONS: The authors report the case of a 29-year-old man who developed paraparesis with bladder and rectal dysfunction following a minor traffic accident. Imaging showed no fractures or intramedullary signal changes, with only subtle spinal cord anterior deviation at T7-8. Surgical exploration revealed a thickened arachnoid band compressing and tethering the spinal cord. Resection of the AW restored cord pulsation, and motor function improved postoperatively. Histopathology confirmed arachnoid tissue with collagen fibers, consistent with AW. LESSONS: Even with subtle imaging findings, AW should be suspected in trauma-related myelopathy, and timely surgical intervention can provide recovery. https://thejns.org/doi/10.3171/CASE25734.

Indexed as

arachnoid webmicrosurgical resectionminor traumamyelopathyspinal cord compressionthoracic spine

Identifiers

PMID41569732
PMCPMC12770990

What OpenQuestion holds

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Registered trials

None linked

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.