INTRAVENOUS CORTICOSTEROID-THERAPY OF CERVICAL CORD COMPRESSION IN RHEUMATOID-ARTHRITIS

被引:0
|
作者
LOUTHRENOO, W
ZAGER, EL
FREUNDLICH, B
ZURIER, RB
机构
[1] UNIV MASSACHUSETTS,MED CTR,DIV RHEUMATOL,ROOM S6-860,55 LAKE AVE N,WORCESTER,MA 01655
[2] UNIV PENN,SCH MED,PHILADELPHIA,PA 19104
关键词
RHEUMATOID ARTHRITIS; CERVICAL SPINE; CORTICOSTEROID; RHEUMATOID PANNUS;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe a case of atlantoaxial joint subluxation and cervical myelopathy in a patient with rheumatoid arthritis. Magnetic resonance imaging (MRI) demonstrated a large periodontoid pannus compressing the upper cervical cord. Neurological function improved rapidly after treatment with intravenous pulse corticosteroids given before surgical fusion of the cervical spine. Post operative MRI showed a significant reduction in size of the pannus.
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页码:173 / 175
页数:3
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