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비류마티스 환축추 불완전탈구에서 발생한 경부척수병

Cervical Myelopathy Resulting From Non-Rheumatoid Atlantoaxial Subluxation

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주제분류신경과학

초록

Degenerative pannus arising from the atlanto-axial articulation is a rare entity, which is associated with chronic atlanto-axial instability in degenerative arthropathies. Due to cervical instability and the mass effect on the spinal cord, it can produce severe neck pain and compressive myelopathy. We report a case of cervical myelopathy resulting from non-rheumatoid atlanto-axial subluxation. The posterior stabilization provided excellent neurological improvement and pannus regression. Early recognition of this condition is important as the clinical condition will deteriorate without surgical interventions.

Abstract

Degenerative pannus arising from the atlanto-axial articulation is a rare entity, which is associated with chronic atlanto-axial instability in degenerative arthropathies. Due to cervical instability and the mass effect on the spinal cord, it can produce severe neck pain and compressive myelopathy. We report a case of cervical myelopathy resulting from non-rheumatoid atlanto-axial subluxation. The posterior stabilization provided excellent neurological improvement and pannus regression. Early recognition of this condition is important as the clinical condition will deteriorate without surgical interventions.

참고문헌 (10)

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  9. Koh SH, "Neurologic manifestations of atlanto- axial subluxation in the patients with rheumatoid arthritis", Korean Neurol Assoc, 17, pp.841~847 (1999)
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