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Intravenous corticosteroid therapy of cervical cord compression in rheumatoid arthritis
W Louthrenoo1, E L Zager, B Freundlich
1University of Pennsylvania School of Medicine, Philadelphia.
Clinical and Experimental Rheumatology
|March 1, 1992
Abstract:
We describe a case of atlantoaxial joint subluxation and cervical myelopathy in a patient with rheumatoid arthritis. Magnetic resonance imaging (MRI) demonstrated a large periodontoid pannus compressing the upper cervical cord. Neurological function improved rapidly after treatment with intravenous pulse corticosteroids given before surgical fusion of the cervical spine. Post operative MRI showed a significant reduction in size of the pannus.