Oh D H, Jun J B, Kim H T, Lee S W, Jung S S, Lee I H, Kim S Y
Hospital For Rheumatic Diseases, Hanyang University, Seoul, Korea.
Clin Exp Rheumatol. 2001 Mar-Apr;19(2):195-6.
Ankylosing spondylitis is reported to involve not only the joints but other organs as well. Among these extra-articular involvements, uncommon complications associated with nervous system such as single root lesions, compression of the myelum and cauda equina syndrome have also been documented. Here we present a patient with long-standing ankylosing spondylitis who developed spastic paraparesis. Extensive study to find the cause of a spastic paraparesis failed and therefore led to the conclusion that this patient was suffering from transverse myelitis. Similar reports in the past have been attributed to an association with multiple sclerosis; however, we suggest that the findings support the diagnosis of a rare complication of ankylosing spondylitis with an unknown etiology.
据报道，强直性脊柱炎不仅累及关节，还累及其他器官。在这些关节外受累情况中，与神经系统相关的罕见并发症，如单神经根病变、脊髓压迫和马尾综合征也有记录。在此，我们报告一例患有长期强直性脊柱炎并出现痉挛性截瘫的患者。广泛研究未能找到痉挛性截瘫的病因，因此得出结论，该患者患有横贯性脊髓炎。过去类似的报告归因于与多发性硬化症有关；然而，我们认为这些发现支持诊断为强直性脊柱炎一种病因不明的罕见并发症。
