Vertebral Artery Obstruction due to Anterior and Vertical Subluxation of Atlanto-Axial and Atlanto-Occipital Joint in Ankylosing Spondylitis
Journal of Korean Neurosurgical Society
;
: 1023-1026, 1999.
Artigo
em Coreano
| WPRIM
| ID: wpr-196468
ABSTRACT
OBJECTIVE:
We report a case with a long-standing history of the ankylosing spondylitis(AS) who showed multiple cerebellar infarctions with bulbar symptom owing to vertebral artery obstruction, due to anterior and vertical subluxation of atlanto-axial and atlanto-occipital joint. CLINICAL PRESENTARION An 51-year-old male patient with swallowing difficulty, tongue deviation to the left side and severe nuchal pain and rigidity is presented. INTERVENTION After removal of posterior portion of foramen magnum, posterior portion of left transverse foramen of axis was decompressed.CONCLUSIONS:
Spontaneous anterior atlanto-axial subluxation occurs in patients with AS about 2% of presents with or without signs of spinal cord compression. Vertical subluxation occurs in 3-8% of patient with rheumatoid arthritis but it is an exceedingly rare complication of AS. Close observation and follow-up are needed in patients with AS and if subluxation occurs, good prognosis is anticipated using an early operative treatment.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artrite Reumatoide
/
Prognóstico
/
Articulação Atlantoccipital
/
Compressão da Medula Espinal
/
Espondilite Anquilosante
/
Vértebra Cervical Áxis
/
Língua
/
Artéria Vertebral
/
Seguimentos
/
Deglutição
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
1999
Tipo de documento:
Artigo
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