AI Article Synopsis
- Atlantoaxial instability (AAI) is a common complication in rheumatoid arthritis (RA), but its link to intracranial bleeding is not well understood.
- A case is presented of a young woman with both systemic lupus erythematosus and RA who experienced three episodes of subdural bleeding due to AAI.
- After surgical fixation of the C1-C2 vertebrae, no further bleeding episodes occurred, highlighting the connection between hemorrhage and cervical instability in this patient.
Article Abstract
Case: Atlantoaxial instability (AAI) is a frequent complication of rheumatoid arthritis (RA), but its involvement in intracranial bleeding is unclear. We present a young woman with history of systemic lupus erythematosus and RA who developed 3 episodes of subdural bleeding at the upper cervical spine and cranial level. Imaging tests showed signs of AAI with odontoid deformity. The case was interpreted as recurrent traumatic cervical subdural hemorrhage because of AAI. No new episodes occurred after surgical C1-C2 fixation.
Conclusion: We report a case that had the association of hemorrhage and C1-2 instability in a patient with RA and lupus erythematosus.
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| http://dx.doi.org/10.2106/JBJS.CC.21.00671 | DOI Listing |
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