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Cervical Myelopathy from Rheumatoid Pannus As Detected by Magnetic Resonance Imaging
Author(s) -
Adelman Harold M.,
Flannery Michael T.,
Wallach Paul M.,
Shah Chunilal P.
Publication year - 1993
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/jon19933163
Subject(s) - pannus , medicine , myelopathy , magnetic resonance imaging , spinal cord compression , medullary cavity , rheumatoid arthritis , spinal cord , brainstem , radiology , pathology , psychiatry
The rheumatoid inflammatory process can lead to pannus formation, bone destruction, and ligamentous laxity allowing at lantoaxial subluxation. Spinal cord and brainstem compression may cause neurological signs and symptoms. This reports on a patient in whom magnetic resonance imaging identified periodontoid pannus and atlantoaxial subluxation with spinal cord and medullary compression, manifested clinically by symptoms and signs consistent with cervical myelopathy. Posterior C1‐2 fusion with atlantoaxial stabilization led to a reduction of pannus and neurological improvement.