A Case Report of Rapidly Progressing Cauda Equina Symptoms due to Rheumatoid Arthritis
Although rheumatoid involvement of the lumbar spine is relatively rare, we report a patient with rapidly progressing cauda equina symptoms due to rheumatoid diskitis. A 72-year-old woman was admitted to our hospital because of motor weakness below the iliopsoas muscle and sensory disturbance beneath...
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| Veröffentlicht in: | Journal of Nippon Medical School 2005, Vol.72(5), pp.290-294 |
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| container_end_page | 294 |
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| container_title | Journal of Nippon Medical School |
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| creator | Kawaji, Hidemi Miyamoto, Masabumi Gembun, Yoshikazu Ito, Hiromoto |
| description | Although rheumatoid involvement of the lumbar spine is relatively rare, we report a patient with rapidly progressing cauda equina symptoms due to rheumatoid diskitis. A 72-year-old woman was admitted to our hospital because of motor weakness below the iliopsoas muscle and sensory disturbance beneath the level of L2. Plain X-ray films, computed tomography, and magnetic resonance imaging demonstrated destruction of the L2/3 intervertebral disc and endplates with subluxation of the facet joints. The dural sac was compressed. Based on a diagnosis of spinal canal stenosis due to rheumatoid diskitis, we performed partial laminectomy and posterolateral fusion with pedicle screws. The neurological deficits improved immediately. The mechanism of intervertebral disc destruction in this case is thought to be rheumatoid nodes or enthesitis. Destruction of the facet joints and the intervertebral disc might have led to severe instability and spinal canal stenosis. |
| doi_str_mv | 10.1272/jnms.72.290 |
| format | Article |
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A 72-year-old woman was admitted to our hospital because of motor weakness below the iliopsoas muscle and sensory disturbance beneath the level of L2. Plain X-ray films, computed tomography, and magnetic resonance imaging demonstrated destruction of the L2/3 intervertebral disc and endplates with subluxation of the facet joints. The dural sac was compressed. Based on a diagnosis of spinal canal stenosis due to rheumatoid diskitis, we performed partial laminectomy and posterolateral fusion with pedicle screws. The neurological deficits improved immediately. The mechanism of intervertebral disc destruction in this case is thought to be rheumatoid nodes or enthesitis. Destruction of the facet joints and the intervertebral disc might have led to severe instability and spinal canal stenosis.</description><identifier>ISSN: 1345-4676</identifier><identifier>EISSN: 1347-3409</identifier><identifier>DOI: 10.1272/jnms.72.290</identifier><identifier>PMID: 16247229</identifier><language>eng</language><publisher>Japan: The Medical Association of Nippon Medical School</publisher><subject>Aged ; Arthritis, Rheumatoid - complications ; cauda equina syndrome ; Disease Progression ; Female ; Humans ; Polyradiculopathy - etiology ; rheumatoid arthritis ; spinal fusion ; spondylodiskitis</subject><ispartof>Journal of Nippon Medical School, 2005, Vol.72(5), pp.290-294</ispartof><rights>2005 by the Medical Association of Nippon Medical School</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5500-6ca3a97c43b8008be0d8fe301525fc7be824232e67c01c29bd7deacd17ce30433</citedby><cites>FETCH-LOGICAL-c5500-6ca3a97c43b8008be0d8fe301525fc7be824232e67c01c29bd7deacd17ce30433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16247229$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawaji, Hidemi</creatorcontrib><creatorcontrib>Miyamoto, Masabumi</creatorcontrib><creatorcontrib>Gembun, Yoshikazu</creatorcontrib><creatorcontrib>Ito, Hiromoto</creatorcontrib><creatorcontrib>Nippon Medical School</creatorcontrib><creatorcontrib>Department of Orthopaedic Surgery</creatorcontrib><title>A Case Report of Rapidly Progressing Cauda Equina Symptoms due to Rheumatoid Arthritis</title><title>Journal of Nippon Medical School</title><addtitle>J Nippon Med Sch</addtitle><description>Although rheumatoid involvement of the lumbar spine is relatively rare, we report a patient with rapidly progressing cauda equina symptoms due to rheumatoid diskitis. A 72-year-old woman was admitted to our hospital because of motor weakness below the iliopsoas muscle and sensory disturbance beneath the level of L2. Plain X-ray films, computed tomography, and magnetic resonance imaging demonstrated destruction of the L2/3 intervertebral disc and endplates with subluxation of the facet joints. The dural sac was compressed. Based on a diagnosis of spinal canal stenosis due to rheumatoid diskitis, we performed partial laminectomy and posterolateral fusion with pedicle screws. The neurological deficits improved immediately. The mechanism of intervertebral disc destruction in this case is thought to be rheumatoid nodes or enthesitis. Destruction of the facet joints and the intervertebral disc might have led to severe instability and spinal canal stenosis.</description><subject>Aged</subject><subject>Arthritis, Rheumatoid - complications</subject><subject>cauda equina syndrome</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Humans</subject><subject>Polyradiculopathy - etiology</subject><subject>rheumatoid arthritis</subject><subject>spinal fusion</subject><subject>spondylodiskitis</subject><issn>1345-4676</issn><issn>1347-3409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1v1DAQhiMEoqVw4o584oKyjL_i5MZq1QJSJdDycbUcZ7LrKIm3dqJq_z0OWcplxtI8fsZ-s-wthQ1lin3sxiFuFNuwCp5l15QLlXMB1fO_Z5mLQhVX2asYOwDOpSxeZle0YEIxVl1nv7dkZyKSPZ58mIhvyd6cXNOfyffgDwFjdOMhIXNjyO3D7EZDfpyH0-SHSJoZyeTJ_ojzYCbvGrIN0zG4ycXX2YvW9BHfXPpN9uvu9ufuS37_7fPX3fY-t1IC5IU13FTKCl6XAGWN0JQtcqCSydaqGksmGGdYKAvUsqpuVIPGNlTZRAnOb7L3q_cU_MOMcdKDixb73ozo56iLUnGQRZnADytog48xYKtPwQ0mnDUFvcSolxh16inGRL-7aOd6wOY_e8ktAXcrkKbOmt6PvRtRd34OY_qvto-084uQAUgNoNjaNCT9UoSgEsQi-rSKujiZAz5tMmFytsenV8m1LLf_jezRBI0j_wP8q5u8</recordid><startdate>2005</startdate><enddate>2005</enddate><creator>Kawaji, Hidemi</creator><creator>Miyamoto, Masabumi</creator><creator>Gembun, Yoshikazu</creator><creator>Ito, Hiromoto</creator><general>The Medical Association of Nippon Medical School</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2005</creationdate><title>A Case Report of Rapidly Progressing Cauda Equina Symptoms due to Rheumatoid Arthritis</title><author>Kawaji, Hidemi ; Miyamoto, Masabumi ; Gembun, Yoshikazu ; Ito, Hiromoto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5500-6ca3a97c43b8008be0d8fe301525fc7be824232e67c01c29bd7deacd17ce30433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Aged</topic><topic>Arthritis, Rheumatoid - complications</topic><topic>cauda equina syndrome</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Humans</topic><topic>Polyradiculopathy - etiology</topic><topic>rheumatoid arthritis</topic><topic>spinal fusion</topic><topic>spondylodiskitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawaji, Hidemi</creatorcontrib><creatorcontrib>Miyamoto, Masabumi</creatorcontrib><creatorcontrib>Gembun, Yoshikazu</creatorcontrib><creatorcontrib>Ito, Hiromoto</creatorcontrib><creatorcontrib>Nippon Medical School</creatorcontrib><creatorcontrib>Department of Orthopaedic Surgery</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Nippon Medical School</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawaji, Hidemi</au><au>Miyamoto, Masabumi</au><au>Gembun, Yoshikazu</au><au>Ito, Hiromoto</au><aucorp>Nippon Medical School</aucorp><aucorp>Department of Orthopaedic Surgery</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Case Report of Rapidly Progressing Cauda Equina Symptoms due to Rheumatoid Arthritis</atitle><jtitle>Journal of Nippon Medical School</jtitle><addtitle>J Nippon Med Sch</addtitle><date>2005</date><risdate>2005</risdate><volume>72</volume><issue>5</issue><spage>290</spage><epage>294</epage><pages>290-294</pages><issn>1345-4676</issn><eissn>1347-3409</eissn><abstract>Although rheumatoid involvement of the lumbar spine is relatively rare, we report a patient with rapidly progressing cauda equina symptoms due to rheumatoid diskitis. 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| ispartof | Journal of Nippon Medical School, 2005, Vol.72(5), pp.290-294 |
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| language | eng |
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| source | MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; Open Access Titles of Japan |
| subjects | Aged Arthritis, Rheumatoid - complications cauda equina syndrome Disease Progression Female Humans Polyradiculopathy - etiology rheumatoid arthritis spinal fusion spondylodiskitis |
| title | A Case Report of Rapidly Progressing Cauda Equina Symptoms due to Rheumatoid Arthritis |
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