title: [A woman with speech and swallowing disorder].
abstract: A 78-year-old woman with a history of rheumatoid arthritis has been developing progressive speech and swallowing problems since 3 weeks. A CT scan of her head and neck showed a subluxation of the dens, which caused basilar invagination. This severe complication of rheumatoid arthritis is rare. Dynamic imaging and neurologic survey are recommended in patients with rheumatoid arthritis.
authors.affiliation: Amphia Ziekenhuis, Breda.
authors.forename: Francien A
authors.initials: FA
authors.lastname: de Leeuw
authors.forename: Dominique C
authors.initials: DC
authors.lastname: de Lange
authors.forename: Cathelijne W Y
authors.initials: CW
authors.lastname: Appels
mesh_terms: D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications*; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D013060:Speech; D014057:Tomography, X-Ray Computed