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类风湿关节炎中的脑干受压

Brain-stem compression in rheumatoid arthritis.

作者信息

Davidson R C, Horn J R, Herndon J H, Grin O D

出版信息

JAMA. 1977 Dec 12;238(24):2633-4.

PMID:579202
Abstract

A woman had cervical C-1 to C-2 subluxation with dysphagia. Initial improvement with halo cast and posterior fusion was followed by recurrence of symptoms, but transpharyngeal resection of the odontoid process had continued to alleviate symptoms at 18-month follow-up examination. The importance of vertical C-1 to C-2 subluxation in rheumatoid cervical arthritis is emphasized.

摘要

一名女性患有颈椎C1至C2半脱位并伴有吞咽困难。最初采用头环石膏固定和后路融合术症状有所改善,但随后症状复发,不过在18个月的随访检查时,经咽齿突切除术持续缓解了症状。强调了类风湿性颈椎关节炎中C1至C2垂直半脱位的重要性。

相似文献

1
Brain-stem compression in rheumatoid arthritis.类风湿关节炎中的脑干受压
JAMA. 1977 Dec 12;238(24):2633-4.
2
Odontoid compression of the brain stem in a patient with rheumatoid arthritis. Case report.一名类风湿性关节炎患者的脑干齿状突压迫。病例报告。
J Neurosurg. 1980 Dec;53(6):841-5. doi: 10.3171/jns.1980.53.6.0841.
3
[Transoral decompression of the brain stem in a basilar impression secondary to rheumatoid arthritis. Description of a case and survey of the literature].[类风湿关节炎继发颅底凹陷症的经口脑干减压术。病例描述及文献综述]
Rev Neurol. 2003;36(9):846-51.
4
Rheumatoid pannus of the cervical spine: a case report of an unusual cause of dysphagia.
Ear Nose Throat J. 1999 Apr;78(4):284, 289-91.
5
Dysphagia due to vertical subluxation of the axis in rheumatoid arthritis.类风湿关节炎中寰椎垂直半脱位所致吞咽困难
Rheumatol Rehabil. 1977 Aug;16(3):155-7. doi: 10.1093/rheumatology/16.3.155.
6
[Possibilities of surgical treatment of upper cervical spine in patients with rheumatoid arthritis].[类风湿性关节炎患者上颈椎的外科治疗可能性]
Acta Chir Orthop Traumatol Cech. 2004;71(4):201-9.
7
Cervical myelopathy due to atlantoaxial and subaxial subluxation in rheumatoid arthritis.类风湿关节炎中寰枢椎和下颈椎半脱位所致的脊髓型颈椎病
Arch Pathol Lab Med. 1983 Feb;107(2):94-8.
8
Syringomyelia in a patient with rheumatoid subluxation of the cervical spine.类风湿性颈椎半脱位患者的脊髓空洞症
J Rheumatol. 1991 Sep;18(9):1403-5.
9
Posterior decompression and fusion in rheumatoid disease of the cervical spine: redressing the balance.颈椎类风湿性疾病的后路减压融合术:恢复平衡
J Spinal Disord. 1994 Oct;7(5):439-43.
10
[Rheumatoid arthritis of the cervical spine: surgical management].[颈椎类风湿性关节炎:手术治疗]
Rev Med Suisse Romande. 2004 Sep;124(9):575-8.

引用本文的文献

1
Superior odontoid migration in the Klippel-Feil patient.克-费二氏综合征患者的齿状突上移
Eur Spine J. 2007 Sep;16(9):1489-97. doi: 10.1007/s00586-006-0280-z. Epub 2006 Dec 15.
2
Dysphagia and micrognathia in a patient with juvenile rheumatoid arthritis.
Clin Rheumatol. 1986 Sep;5(3):410-5. doi: 10.1007/BF02054262.
3
Sudden death in rheumatoid arthritis from vertical subluxation of the odontoid process.类风湿关节炎因齿状突垂直半脱位导致的猝死。
J Natl Med Assoc. 1990 Apr;82(4):297-9, 302-4.
4
Surgery of the rheumatoid cervical spine.类风湿性颈椎手术。
Ann Rheum Dis. 1990 Oct;49 Suppl 2(Suppl 2):845-50. doi: 10.1136/ard.49.suppl_2.845.
5
Transoral approach to anterior brain stem compression.经口入路治疗脑干前部受压
Acta Neurochir (Wien). 1992;118(1-2):7-19. doi: 10.1007/BF01400721.