Fatal Subaxial Dislocation of Cervical Spine in Rheumatoid Arthritis

Whaley, K; Wc, Dick

doi:10.1136/bmj.2.5596.28

Cited by 12 publications

(3 citation statements)

References 6 publications

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“…This emphasizes that other factors may cause serious neurological sequelae of this type. Co-incidental causes of upper motor neurone lesions may be present, or a sub-axial lesion may cause fatal cord damage (Whaley and Dick, 1968). Sharp (1964) discussed the destructive effects of rheumatoid arthritis lower in the cervical spine, and pointed out that cord damage might occur in these situations.…”

Section: Neurological Signsmentioning

confidence: 99%

Atlanto-axial subluxation in rheumatoid arthritis.

Mathews¹

1969

Annals of the Rheumatic Diseases

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Section: Neurological Signsmentioning

confidence: 99%

Atlanto-axial subluxation in rheumatoid arthritis.

Mathews¹

1969

Annals of the Rheumatic Diseases

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“…Aufgrund der meist vielfältigen Gelenkveränderungen mit konsekutiver Störung der Bewegungsorgane werden die Frühsymp-tome vom Patienten und seinem Arzt erst spät erkannt [73]. Dies steht in Kontrast zu den dramatischen Folgen, die diese Komplikation für den Patienten haben kann [85,146]. Andererseits führt nicht jede zervikale Arthritis zu neurologischen Komplikationen.…”

Section: Cervical Myelopathy In Rheumatoid Arthritisunclassified

Die Zervikale Myelopathie als Komplikation der Rheumatoiden Arthritis

Arlt

Steinmetz

2004

Z Rheumatol

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Arthritis of the cervical spine with instability of the atlantodental joint is a typical and frequent complicaiton in rheumatoid arthritis. Subsequent cervical myelopathy is rare but usually a severe complication. There is no stringent correlation between arthritis of cervical spine an occurrence of cervical myelopathy. Cervical myelopathy is often difficult to discern from parallel multilating peripheral joint damage, which makes the diagnosis difficult. The decision between conservative and operative therapeutic intervention has to be based on subtle clinical, neurophysiological and radiological assessment and-in particular-requires exact analysis of the course of the underlying rheumatoid arthritis and myelopathy. In this diagnostic process close collaboration of rheumatologist, surgeon and neurologist is essential.

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“…It can cause compression of the spinal cord, leading to neurological complications or death (Davis and Markley, 1951;Martel and Abell, 1963). Manipulation or slight trauma under anaesthesia may be the triggering factor (Hopkins, 1967;Whaley andCarson Dick, 1968: Isdale, Ridings, andTapsell, 1964).…”

mentioning

confidence: 99%