The Aword

  • Increase font size
  • Default font size
  • Decrease font size

Diagnostic Tests

E-mail Print PDF

 

As arachnoiditis does not present with a discrete clinical picture of specific motor, sensory and reflex abnormalities, diagnosis tends to rest on tests such as MRI or CT scans.

The current investigation of choice is a T2 weighted, fat suppressed, gadolinium enhanced, high resolution MRI scan. Ideally, a neuroradiologist experienced with the appearance of arachnoiditis should read this.

MRI Scans are discussed in a larger article elsewhere.

It is important that treatable causes of Failed Back Surgery Syndrome (FBSS) such as recurrent disc herniation, disc fragments or stenosis be excluded.

It is important that treatable causes of Failed Back Surgery Syndrome (FBSS) such as recurrent disc herniation, disc fragments or stenosis be excluded.

Further tests, which demonstrate nerve damage, include EMG and nerve conduction studies. For bladder dysfunction, urodynamic studies may be required.