Atlantoaxial subluxation - rheumatoid arthritis

Case contributed by Dr Heba Mohamed

Presentation

Progressive neurological symptoms.

Patient Data

Age: 55 years
Gender: Female

Abnormally increased atlantoaxial distance measures 15 mm associated with pre and paradental pannus formation causing significant posterior subluxation of the dens with the cervical cord being compressed between the dens and posterior arch of the atlas. Subsequent abnormal high T2 of the cervical cord opposite the level of C1 is noted as well. No evidence of axial (C1) rotation.

Case Discussion

Middle-aged female with rheumatoid arthritis, exhibits severe atlantoaxial subluxation with subsequent compressive myelopathy at C1 level.

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Case information

rID: 63564
Published: 13th Oct 2018
Last edited: 15th Jan 2019
Inclusion in quiz mode: Included
Institution: Zagazig University Hospital

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