Rheumatoid arthritis with vertical atlanto-axial subluxation complicated by hydrocephalus.
The present report describes a patient with rheumatoid arthritis and vertical atlanto-axial subluxation who developed hydrocephalus with high intraventricular pressure and neuropsychiatric abnormalities. The vertical atlanto-axial subluxation and hydrocephalus were visualized by magnetic resonance imaging, which clearly demonstrated the basilar impression by the dens and ventricular enlargement. The patient recovered completely after ventriculo-cardial drainage.
D001172:Arthritis, Rheumatoid / Q000150:complications*; D001268:Atlanto-Axial Joint; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000209:etiology*; D004204:Joint Dislocations / Q000209:etiology*; D008875:Middle Aged