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[Cauda equina syndrome in ankylosing spondylitis].
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.
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.
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.