# Spinal Arachnoid Web

## TL;DR

A 57-year-old man with upper back pain and numbness was diagnosed with a rare spinal condition called arachnoid web, which can be treated with surgery to prevent worsening symptoms.

## Contribution

This case highlights the importance of recognizing spinal arachnoid web for timely surgical intervention.

## Key findings

- Spinal arachnoid web was diagnosed through neurological exam and imaging.
- Early surgical intervention can resolve symptoms and prevent neurological worsening.

## Abstract

We describe a case of a 57-year-old male with multiple medical comorbidities who presented to the emergency department with a two-week history of upper back pain with associated numbness. Physical exam demonstrated sensory loss in a bilateral third and fourth thoracic dermatome distribution. The diagnosis of spinal arachnoid web was made based on neurological exam and imaging findings.

Spinal arachnoid web is a rare diagnosis, but consideration is important, as early recognition and surgical intervention can resolve symptoms and prevent worsening neurological sequelae.