Surgical Treatment of Rheumatoid Lesion at Craniocervical Junction
Authors: P. Vaněk
Authors - sphere of activity: 1. LF UK a ÚVN Praha
Article: Cesk Slov Neurol N 2012; 75/108(3): 273-282
Number of articles displayed: 389x
Rheumatoid arthritis is a chronic, systemic inflammatory disorder affecting multiple organ systems. The disorder typically manifests with chronic symetric polyarthritis resulting in destruction of joints and development of joint deformities. The craniocervical junction is the section of the spine most frequently affected by the disease. Increased ligamentous laxity is responsible for a development of craniocervical instability. Anterior atlanto-axial subluxation and cranial settling of dens axis are the most common manifestations of the instability. The instability might be responsible for the development or progression of neurological deficit, including sudden death. Early initiation of aggressive pharmacotherapy may slowdown the disease progression, although surgical treatment is the only meaningful therapeutic modality in patients with radiological progression of the instability or who develop neurological deficit. Surgery may also be indicated for pain associated with the craniocervical instability and unresponsive to conservative treatment. A multidisciplinary approach is the prerequisite for optimal long-term outcome.
craniocervical junction – rheumatoid arthritis – instability – surgical treatment
The full wording of this article is available only to registered users. Plese register and you can read this article immediately.
If you are a subscriber, log in and enter the subscriber code from your magazine cover.
If you are not a subscriber, log in for unlimited access to older editions.
Tento článek si můžete přečíst pokud si aktivujete Premium účet.
- Creutzfeldt-Jacob disease | views: 126
- Spinocerebellar Ataxia 7 – a Case Report | views: 58
- Electrophysiological Examination of the Pelvic Floor | views: 49
- Ultrasound-guided Brain Cavernoma Surgery | views: 43
- Differences in the Modulation of Cortical Activity in Patients Suffering from Upper Arm Spasticity Following Stroke and Treated with Botulinum Toxin A | views: 34
- Torticollis at Grisel’s Syndrome – Case Reports | views: 30
- Significance and Limitations of Visual Evoked Potentials in the Study of Pathophysiology of Migraine | views: 25
- Evaluation of Epidemiological Stroke Data from the IKTA Register. Stroke Incidence in the Zlin District | views: 25
- X-adrenoleukodystrophy | views: 25
- The Role of a Neurootologist in Identification of Post-radiation Complications in Patients with Vestibular Schwannoma Treated with Leksell Gamma Knife | views: 19