| Destructive dural ectasia of dorsal and lumbar spine with cauda equina syndrome in a patient with ankylosing spondylitis. | |
| | |
MedLine Citation:
|
PMID: 21331306 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
|
We present a patient with longstanding ankylosing spondylitis complicated with cauda equina syndrome. The patient suffered from increasing pain in the leg with reduced sensitivity and extremely cold feet associated with incontinence. Diagnostic workup revealed dural ectasia, arachnoiditis and a spinal inflammatory mass leading to extensive vertebral bone destruction. Of interest, this was not only found in the lumbar spine region (which is typical in cases of cauda equina syndrome associated with ankylosing spondylitis) but also in the lower cervical spine (C7) and upper dorsal spine. Moreover, the bone destructive phenotype of this complication of long-standing AS contrasts with the usual characteristics of new bone formation and ankylosis. As initial treatment with anti-inflammatory drugs was not sufficiently successful, infliximab therapy was started which resulted in manifest clinical improvement as chronic pain, incontinence and laboratory signs of inflammation progressively disappeared. |
| | |
Authors:
|
Marijke Van Hoydonck; Kurt de Vlam; Rene Westhovens; Frank P Luyten; Rik J Lories |
Related Documents
:
|
12185356 - Giant retinal tear and meningococcus endogenous endophthalmitis. 18832846 - Mollaret's meningitis. 22054736 - Diagnosis of myelodysplastic syndromes in cytopenic patients. 18183426 - A case of cerebral salt-wasting syndrome associated with aseptic meningitis in an 8-yea... 14556256 - Moebius sequence and hypogonadotrophic hypogonadism. 12625896 - Bilateral parotid cysts as presentation of sjögren's syndrome. |
Publication Detail:
|
Type: Journal Article Date: 2010-08-26 |
Journal Detail:
|
Title: The open rheumatology journal Volume: 4 ISSN: 1874-3129 ISO Abbreviation: Open Rheumatol J Publication Date: 2010 |
Date Detail:
|
Created Date: 2011-02-18 Completed Date: 2011-07-14 Revised Date: 2011-07-25 |
Medline Journal Info:
|
Nlm Unique ID: 101480507 Medline TA: Open Rheumatol J Country: Netherlands |
Other Details:
|
Languages: eng Pagination: 31-4 Citation Subset: - |
Affiliation:
|
Division of Rheumatology, University Hospitals Leuven, Herestraat 49, B-3000, Leuven, Belgium. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Nanopore sculpting with noble gas ions.
Next Document: COX-2 Inhibition by Use of Rofecoxib or High Dose Aspirin Enhances ADP-Induced Platelet Aggregation ...