» Articles » PMID: 35923346

Scalpel Sign: Dorsal Thoracic Arachnoid Web, Thoracic Arachnoid Cyst and Ventral Cord Herniation

Overview
Journal Radiol Case Rep
Publisher Elsevier
Specialty Radiology
Date 2022 Aug 4
PMID 35923346
Authors
Affiliations
Soon will be listed here.
Abstract

The "Scalpel sign" is a radiological sign which can be identified on magnetic resonance imaging and indicates dorsal compression of the spinal cord [1]. Prior descriptions of a "Scalpel sign" have been reported in the literature and the awareness and identification of this pathognomonic sign may aid in the rapid diagnosis and treatment of patients with dorsal arachnoid web, dorsal arachnoid cyst or ventral cord herniation. We describe 3 cases which highlight these rare conditions for which this sign is pathognomonic and summarize the pertinent literature related to these disorders [1,2].

Citing Articles

Intraspinal Intradural Arachnoid Web at the Thoracic Level: A Case Report.

Moustafa W, Silbermann J, Maskoud S, Kinan Sultan M, Badary A Cureus. 2024; 16(8):e67817.

PMID: 39323707 PMC: 11423784. DOI: 10.7759/cureus.67817.

References
1.
Brodbelt A, Stoodley M . Syringomyelia and the arachnoid web. Acta Neurochir (Wien). 2003; 145(8):707-11. DOI: 10.1007/s00701-003-0071-9. View

2.
Sayal P, Zafar A, Carroll T . Syringomyelia secondary to "occult" dorsal arachnoid webs: Report of two cases with review of literature. J Craniovertebr Junction Spine. 2016; 7(2):101-4. PMC: 4872557. DOI: 10.4103/0974-8237.181862. View

3.
Schultz Jr R, Steven A, Wessell A, Fischbein N, Sansur C, Gandhi D . Differentiation of idiopathic spinal cord herniation from dorsal arachnoid webs on MRI and CT myelography. J Neurosurg Spine. 2017; 26(6):754-759. DOI: 10.3171/2016.11.SPINE16696. View

4.
Ruschel L, Agnoletto G, Aurich L, Vosgerau R . Dorsal Arachnoid Web and Scalpel Sign: A Diagnostic Imaging Entity. Turk Neurosurg. 2016; 28(4):689-690. DOI: 10.5137/1019-5149.JTN.18394-16.1. View

5.
Reardon M, Raghavan P, Carpenter-Bailey K, Mukherjee S, Smith J, Matsumoto J . Dorsal thoracic arachnoid web and the "scalpel sign": a distinct clinical-radiologic entity. AJNR Am J Neuroradiol. 2013; 34(5):1104-10. PMC: 7964642. DOI: 10.3174/ajnr.A3432. View