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In the Ist Department of Surgery, Kagoshima University School of Medicine, 153 patients of cerebral arachnoiditis, 115 non-traumatic and 38 traumatic cases, were investigated. Symptoms of eyes which patients complained were as follows; diminution of vision, contraction of the visual fields, diplopia, blepharoptosis, photophobia and pain of eyes. As the treatment, spinal tap with instillation of air, blocking of stellate ganglion, steroid hormon and their combinations were performed. In general, 75% of these patients seemed to have clinical improvement: visual acuity were improved in 53%, visual fields in 65%, diplopia in 71%, ptosis in 84%, and pain of eyes in 80%. As various methods and combination of treatments as described above have been evaluated, the most effective treatment was combination of all three methods.

neurologia medico-chirurgica

100. Clinical Survey of 153 Consecutive Cases of Cerebral Arachnoiditis; The Effect of Combinaiton of Spinal Tap with Instillation of Air and Steroid Hormon for Ophthalmologic Symptoms