• Tan David Chi Hau DCH Department of Neurosurgery, Wellington Regional Hospital, Capital and Coast District Health Board, Wellington, New Zealand., Kerry A Vaughan, and Helge Koeck.
• Department of Neurosurgery, Wellington Regional Hospital, Capital and Coast District Health Board, Wellington, New Zealand.
• World Neurosurg. 2019 Nov 1; 131: 43-46.

BackgroundSpinal arachnoiditis and associated arachnoid adhesions can cause debilitating neurological symptoms due to nerve root and spinal cord compression or tethering. Adhesiolysis using a microscopic approach has traditionally been used for this condition. This procedure has been further refined in recent years with the use of flexible endoscopes.Case DescriptionWe report the case of a patient with progressive thoracic myelopathy secondary to arachnoid adhesions associated with arachnoiditis. A minimally invasive technique of adhesiolysis and placement of a cysto-arachnoid shunt was performed with the assistance of a flexible endoscope.ConclusionsThe present case report has highlighted the advantages of using a flexible endoscope to treat spinal arachnoiditis adhesiolysis and placement of a cysto-arachnoid shunt, including a smaller skin incision and extended visualization.Copyright © 2019 Elsevier Inc. All rights reserved.

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