Naredo Sánchez E, Carceller Benito F, Campos Fernandez C, Perez Alvarez M, Perez de Ayala C, Martin Mola E
Department of Rheumatology, La Paz Hospital, Autonoma University of Madrid, Spain.
J Rheumatol. 1996 Jun;23(6):1098-102.
We describe symptomatic hydrocephalus and secondary syndrome of inappropriate antidiuretic hormone as clinical manifestations of vertical atlantoaxial subluxation in a patient with severe rheumatoid arthritis. We found no reports of this association as a complication of rheumatoid cervical involvement. We discuss the difficulties of differential diagnosis and treatment in this patient.
我们描述了严重类风湿性关节炎患者垂直寰枢椎半脱位的临床表现为症状性脑积水和抗利尿激素分泌不当综合征。我们未发现有关于这种关联作为类风湿性颈椎受累并发症的报道。我们讨论了该患者鉴别诊断和治疗的难点。