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[Cauda equina syndrome in ankylosing spondylitis].

R Pfister¹, M Stöhr, O Rave

¹Neurologische Klinik mit klinischer Neurophysiologie, Zentralklinikum Augsburg.

Deutsche Medizinische Wochenschrift (1946)

|January 27, 1989

Summary

Ankylosing spondylitis can lead to cauda equina syndrome, a serious spinal complication. This condition causes leg pain, sensory issues, and weakness, with no current causal treatment.

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Area of Science:

Neurology
Rheumatology
Spinal Medicine

Background:

Ankylosing spondylitis (AS) is a chronic inflammatory disease primarily affecting the spine.
Long-term AS can lead to various complications, including spinal stenosis and neurological deficits.

Observation:

A 55-year-old male with a 20-year history of ankylosing spondylitis presented with progressive leg pain and sensory disturbances.
The patient also exhibited mild weakness in foot and toe dorsiflexion.
No signs of active inflammation were detected.

Findings:

Clinical, neurophysiological, and neuroradiological assessments confirmed cauda equina syndrome.
Cauda equina syndrome was identified as a late-onset complication of ankylosing spondylitis.
The patient's condition was not associated with active inflammatory markers.

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Implications:

This case highlights cauda equina syndrome as a potential, albeit rare, late complication of ankylosing spondylitis.
Early recognition and diagnosis are crucial for managing neurological symptoms.
Further research into the pathogenesis and treatment of AS-related neurological complications is warranted.