| Fatality from minor cervical trauma in ankylosing spondylitis. | |
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MedLine Citation:
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PMID: 21686337 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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Cervical injury is a serious and often fatal complication of ankylosing spondylitis in the setting of minor trauma. This case report describes a 51-year-old woman with ankylosing spondylitis and a minor trauma who developed severe bradycardia during positioning for x ray. Further diagnostic revealed a hyperextensive fracture of C4 with fragments compressing the cervical medulla. The woman subsequently died from hypoxic brain damage. Reviewing the literature, a high alertness in ankylosing spondylitis and minor trauma with neck immobilisation is emphasised, early diagnosis using cervical spine computed tomography is essential to a favourable outcome, and the mechanism of bradycardia in cervical trauma is discussed. |
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Authors:
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Thorleif Etgen; Georg Rieder |
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Publication Detail:
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Type: Journal Article Date: 2009-05-21 |
Journal Detail:
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Title: BMJ case reports Volume: 2009 ISSN: 1757-790X ISO Abbreviation: BMJ Case Rep Publication Date: 2009 |
Date Detail:
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Created Date: 2011-06-20 Completed Date: 2011-11-10 Revised Date: 2013-04-02 |
Medline Journal Info:
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Nlm Unique ID: 101526291 Medline TA: BMJ Case Rep Country: England |
Other Details:
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Languages: eng Pagination: - Citation Subset: - |
Affiliation:
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Klinikum Traunstein, Department of Neurology, Cuno-Niggl-Str. 3, Traunstein, 83278, Germany. |
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