Clinics in diagnostic imaging (24). Cervical spine instability in seronegative rheumatoid arthritis.
A 59-year-old man presented with neck pain and limb numbness. He also had bilateral symmetrical joint deformities of his hands and wrists. Cervical spine radiographs showed C 1/2 instability and features of rheumatoid arthritis. Magnetic resonance imaging demonstrated erosion ofthe odontoid peg by pannus. C 1/2 surgical fusion was performed. The role of imaging in cervical spine involvement by rheumatoid arthritis is reviewed.
Chu
F S
FS
Department of Diagnostic Radiology, University of Hong Kong, Queen Mary Hospital, Hong Kong.
Peh
W C
WC
D001172:Arthritis, Rheumatoid / Q000150:complications / Q000175:diagnosis*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis* / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013117:Spinal Cord Compression / Q000175:diagnosis / Q000209:etiology; D013122:Spinal Diseases / Q000150:complications / Q000175:diagnosis