지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 143 - 147 (5page)
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초록· 키워드
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Ankylosing spondylitis is characterized by inflammation of multiple articular and para-articular structures, frequently resulting in bony ankylosis. The most common presenting symptom is chronic pain and stiffness in the lower part of the spine. Neurological complications such as cauda equina syndrome are very uncommon but can be caused by fibrosis following arachnoiditis, direct compression by arachnoid cyst, or root damage by dural ectasia. We describe a case of a 41-year-old male patient diagnosed with ankylosing spondylitis 11 years ago complaining of recent voiding and defecation problems. Lumbosacral spine MRI and CT imaging revealed dural ectasia with bony erosion of the posterior wall of L3 to S1 vertebral bodies. The electrodiagnostic study was compatible with bilateral lumbosacral polyradiculopathy and the urodynamic study showed underactive detrusor activity during the voiding phase. At 15 month follow-up the patient’s symptoms showed little improvement and he still complained of voiding problems and decreased defecation sense. We report a patient of ankylosing spondylitis with cauda equine syndrome in whom MRI disclosed dural ectasia, and discuss the role of MRI in revealing pathogenesis.
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참고문헌 (10)
참고문헌 신청
Arslanoglu A / 2007 / Magnetic resonance imaging of cauda equina syndrome in long-standing ankylosing spondylitis / Australas Radiol 51 : 375 ~ 377
Bowie EA / 1961 / Cauda Equina Lesions Associated with Ankylosing Spondylitis / Br Med J 2 : 24 ~ 27
Charlesworth CH / 1996 / MRI demonstration of arachnoiditis in cauda equina syndrome of ankylosing spondylitis / Neuroradiology 38 : 462 ~ 465
Cornec D / 2009 / Dramatic efficacy of infliximab in cauda equina syndrome complicating ankylosing spondylitis / Arthritis Rheum 60 : 1657 ~ 1660
Hauge T / 1961 / Chronic rheumatoid polyarthritis and spondylarthritis associated with neurological symptoms and signs occasionally simulating an intraspinal expansive proces
Bowie EA / 1961 / Cauda Equina Lesions Associated with Ankylosing Spondylitis / Br Med J 2 : 24 ~ 27
Charlesworth CH / 1996 / MRI demonstration of arachnoiditis in cauda equina syndrome of ankylosing spondylitis / Neuroradiology 38 : 462 ~ 465
Cornec D / 2009 / Dramatic efficacy of infliximab in cauda equina syndrome complicating ankylosing spondylitis / Arthritis Rheum 60 : 1657 ~ 1660
Hauge T / 1961 / Chronic rheumatoid polyarthritis and spondylarthritis associated with neurological symptoms and signs occasionally simulating an intraspinal expansive proces
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