About a Rare Complication of Systemic Juvenile Idiopathic Arthritis
Journal Title: Medical Journal of Clinical Trials & Case Studies - Year 2018, Vol 2, Issue 1
Abstract
A 66-year-old North African male, treated for an axial spondyloarthritis with indometacin (100 mg per day), consulted for a new history of inflammatory neck and Hands pain. The neurologic exam showed paresthesia of the 2 upper limbs. Radiographs of his neck showed a vertical atlantoaxial subluxation (Figure 1). MRI fined a neurological suffering (Figure 2). Atlantoaxial subluxation is an uncommon and potentially fatal complication of spondyloarthritis. Vertical subluxation is a rare variant, measured using the Ranawat’s method. It includes determination of the vertical distance between the center of the axis pedicle and the transverse axis of the atlas
Authors and Affiliations
Zied J 1* and Dhia K2
Keywords
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- EP ID EP752116
- DOI 10.23880/mjccs-16000133
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