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1999 ARACHNOIDITIS SURVEY

Sarah Andreae-Jones MB BS (Smith)
Patron of The Arachnoiditis Trust
England

Results: Epidemiology

 

TOTAL NUMBER OF RESPONDENTS: 317

(percentage figures rounded to nearest integer; those less than 1% excluded)

 

AGE GROUPS:

30-40 16 (5%)
40-50 55 (7%)
50-60 124 (39%)
60-70 84 (27%)
70-80 36 (11%)
80-90 2

 

GENDER:

MALE 94 (30%)
FEMALE 223 (70%)

 

TIME SINCE DIAGNOSIS (YEARS)

Unspecified 17 (5%)
1-5 87 (27%)
5-10 80 (25%)
MORE THAN 10 133 (42%)

 

LEVEL OF LESION (S):

LUMBAR 277 (87%)
   LUMBAR LESION ONLY 186 (59%)
THORACIC 75 (24%)
CERVICAL 62 (20%)
   WIDESPREAD 131 (41%)
CRANIAL 43 (14%)

 

RISK FACTORS:

TRAUMA 25 (8%)
STENOSIS 59 (19%)
SPINAL SURGERY 236 (74%)
OIL-BASED MYELOGRAM 183 (58%)
WATER-BASED MYELOGRAM 95 (30%)
UNSPECIFIED MYELOGRAM 63 (20%)
SPINAL/EPIDURAL ANAESTHETIC 73 (24%)
EPIDURAL STEROID INJECTION 193 (61%)
MENINGITIS (including chemical) 23 (7%)
CHYMOPAPAIN 4
LUMBAR PUNCTURE 7 (2%)
SUBARACHNOID HAEMORRHAGE 2
SPINAL TUMOUR: 3 + EPENDYMOBLASTOMA 1
DURAL TEAR/PUNCTURE/CSF LEAK 8 (2%)

 

FURTHER DATA ABOUT MYELOGRAMS:

TOTAL NUMBER OF CASES WHO HAD A MYELOGRAM

267 (85% OF ALL RESPONDENTS)

SINGLE MYELOGRAM 146
MULTIPLE MYELOGRAMS 121
CASES WITH OIL-BASED ONLY

117 (44% OF TOTAL NUMBER OF MYELOGRAMS)

CASES WITH WATER-BASED ONLY 44 (16% OF TOTAL)
CASES WITH BOTH 49 (18% OF TOTAL)
UNSPECIFIED 57 (21% OF TOTAL)
CHEMICALLY INDUCED ARACHNOIDITIS (NO OTHER RISK FACTORS) 40 (13%)

 

MISCELLANEOUS ASSOCIATED CONDITIONS:

SYRINGOMYELIA 6=2%
ARACHNOID CYST 1
ARNOLD CHIARI MALFORMATION 1 1
PARS DEFECT:1 ; CONGENITAL BRAIN AND SPINAL CORD DEFECTS 1
SPINA BIFIDA OCCULTA 12=4%
TETHERED CORD: 3 + DIASTIGMATIC MYELIA 1
SPINAL ABSCESS 2
POST-OPERATIVE INFECTION (SPINAL) 2
TARLOV CYSTS 2
CONGENITAL KYPHOSCOLIOSIS 1

 

POSSIBLE ASSOCIATED FACTORS:

RHIZOLYSIS 2
RACZ PROCEDURE (HYALURONIDASE) 1
PREVIOUS SERIOUS VIRAL INFECTION (EBV*, HERPES ZOSTER**, HEPATITIS, ETC.) 41=13%
MUMPS ENCEPHALITIS 1
TUBERCULOSIS 4
POLIOMYELITIS 2 + 1?
OTHER INFECTIOUS DISEASE:
   LYME DISEASE 1
   BRUCELLOSIS 2
   RHEUMATIC FEVER 2
   TYPHOID 1

Notes:

*EPSTEIN-BARR VIRUS = GLANDULAR FEVER / INFECTIOUS MONONUCLEOSIS

**CHICKEN POX / SHINGLES

 

Table of Contents

Introduction
Results: Epidemiology
NEXT: Results: Symptoms / Signs
Summary
Thyroid Problems
RESEARCH SURVEY 1999: Undiagnosed Cases

 

 

 

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