Young A, Dixon A, Getty J, Renton P, Vacher H
Ann Rheum Dis. 1981 Jun;40(3):317-22. doi: 10.1136/ard.40.3.317.
A case of the cauda equina syndrome complicating ankylosing spondylitis (AS) is described. An unusual feature of this case was the relapsing and remitting nature of the condition, but there is sufficient evidence to explain the clinical picture on the basis of a recurrent intraspinal inflammatory process. The clinical and radiological features are similar to those of a further 28 reported in the literature. An electromyogram (EMG) proved important in defining the extent of neurological involvement. Computerised tomography (CT) showed marked laminar erosion and no bony exit foramen encroachment. We believe that the clinical diagnosis of this condition can be adequately confirmed with plain radiology, EMG, and CT scan.
本文描述了一例马尾综合征并发强直性脊柱炎（AS）的病例。该病例的一个不寻常特征是病情具有复发和缓解的性质，但有足够的证据基于复发性椎管内炎症过程来解释临床表现。其临床和放射学特征与文献中报道的另外28例相似。肌电图（EMG）在确定神经受累程度方面被证明很重要。计算机断层扫描（CT）显示明显的椎板侵蚀且无骨神经孔侵犯。我们认为，通过X线平片、肌电图和CT扫描可以充分确诊此病。
