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Cervical spine in rheumatoid arthritis

Case contributed by Dr Praveen Jha


Known case of rheumatoid arthritis, being evaluated for cervical spine, where rheumatologist is querying atlanto-axial dislocation.

Patient Data

Age: 60
Gender: Male

An irregular 'pannus' appearing isointense on T1W and hyperintense on T2W images is seen, with increased atlantoaxial distance.

Case Discussion

This case shows characteristic 'pannus' formation around the dens, and atlanto-axial dislocation in rheumatoid arthritis, with narrowing of the foramen magnum and impingement of cervicomedullary junction.

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Case information

rID: 21755
Published: 16th Feb 2013
Last edited: 3rd May 2020
Tag: spine
Inclusion in quiz mode: Included

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