CAUDA-EQUINA SYNDROME COMPLICATING ANKYLOSING-SPONDYLITIS - ROLE OF COMPUTED-TOMOGRAPHY AND MAGNETIC-RESONANCE-IMAGING

被引:4
作者
WESTHOVENS, R [1 ]
VERSTRAETEN, A [1 ]
KNOCKAERT, D [1 ]
VANHOLSBEECK, M [1 ]
SILEGHEM, A [1 ]
VANDERSCHEUREN, D [1 ]
DEQUEKER, J [1 ]
机构
[1] UNIV HOSP PELLENBERG,DEPT INTERNAL MED,DIV RHEUMATOL,B-3212 PELLENBERG,BELGIUM
关键词
CAUDA EQUINA SYNDROME; ANKYLOSING SPONDYLITIS; COMPUTED TOMOGRAPHY; MAGNETIC RESONANCE IMAGING;
D O I
10.1007/BF02249028
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present two cases of cauda equina syndrome in ankylosing spondylitis. Cauda equina syndrome is a rare complication of ankylosing spondylitis, the pathogenesis of which is not well understood. The onset is insidious with pain and sensory symptoms; sphincter disturbances are common. After a period of increasing neurological symptoms, the condition tends to stabilize. The degree of nerve involvement is variable and can be accurately defined by electromyography. The diagnosis has to be confirmed by computed tomography (CT) or magnetic resonance imaging (MRI); myelography must be avoided. There is no specific treatment, except for pain control. The different clinical presentations and the role of new imaging techniques, CT and MRI, are demonstrated.
引用
收藏
页码:284 / 289
页数:6
相关论文
共 15 条
  • [1] Bartleson J.D., Cohen M.D., Harrington T.M., Goldstein N.P., Ginsburg W.W., Cauda equina syndrome secondary to long-standing ankylosing spondylitis, Ann Neurol, 14, pp. 662-669, (1983)
  • [2] Serratrice G., Acquaviva P., Pouget J., Guerra L., Etude critique des complications radiculo-médullaires et neuro-musculaires de la spondylarthrite ankylosante, Rev Rhum, 54, pp. 221-227, (1987)
  • [3] Pouget J., Guerra J.L., Acquaviva P.C., Serratrice G., Syndrome de la queue de cheval avec mal perforant plantaire et ostéoarthropathies neurogènes au cours d'une pelvispondylite rhumatismale, Rev Rhum, 52, pp. 451-455, (1985)
  • [4] Gordon A.L., Yudell A., Cauda equina lesion associated with rheumatoid spondylitis, Ann Intern Med, 78, pp. 555-557, (1973)
  • [5] Soeur M., Monseu G., Balervaux-Waha D., Duchateau M., Williame E., Pasteels J.L., Cauda equina syndrome in ankylosing spondylitis: anatomical, diagnostic and therapeutic considerations, Acta Neurochir, 55, pp. 303-315, (1981)
  • [6] Milde E.J., Aarli J., Larsen J.L., Cauda equina lesions in ankylosing spondylitis, Scand J Rheumatol, 6, pp. 118-122, (1977)
  • [7] Deshayes P., Anstett M., Le Loet X., Paoletti A., Syndrome de la queue de cheval de la spondylarthrite ankylosante, Rev Rhum, 51, pp. 37-40, (1984)
  • [8] Young A., Dixon A., Getty J., Renton P., Vacher H., Cauda equina syndrome complicating ankylosing spondylitis: use of electromyography and computerised tomography in diagnosis, Ann Rheum Dis, 40, pp. 317-322, (1981)
  • [9] Rubenstein D.J., Ghelman B., Case report 477, Skeletal Radiol, 17, pp. 212-215, (1988)
  • [10] Byrne J.V., Case of the season, Seminars in Roentgenology, 21, pp. 101-102, (1986)