Rheumatoid arthritis of the cervical spine

Case contributed by Dr Muhammad Essam

Presentation

Known case of rheumatoid arthritis, complaining of bilateral upper and lower limb weakness

Patient Data

Age: 75
Gender: Female

Arthropathic changes are seen implicating the atlanto-axial articulation with odontoid process erosive changes and evident pannus formation, which is seen indenting and kinking the upper cervical cord against the posterior arch of atlas, resulting in an intramedullary area of compressive cord myelopathy.

Cervical spondylosis with multi-level disc lesions and degenerative foraminal compromise are also noted.

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Case information

rID: 29388
Case created: 21st May 2014
Last edited: 16th Dec 2015
Inclusion in quiz mode: Included

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