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© 1987 British Society for Rheumatology

case-report

RHEUMATOID ARTHRITIS WITH VERTICAL ATLANTO-AXIAL SUBLUXATION COMPLICATED BY HYDROCEPHALUS

G. COLLÉE1, F. C. BREEDVELD1, P. R. ALGRA2 and G. W. PADBERG3

1The Department of Rheumatology, University Hospital Leiden, The Netherlands
2The Department of Radiology, University Hospital Leiden, The Netherlands
3The Department of Neurology, University Hospital Leiden, The Netherlands

Correspondence to: Address correspondence to Dr. F. C. Breedveld, Department of Rheumatology, University Hospital, Building I, C2Q 87, P.O. Box 9600, 2300 RC Leiden, The Netherlands

The present report describes a patient with rheumatoid arthritis and vertical atlanto-axial subluxation who developed hydrocephalus with high intraventricular pressure and neuropsychiatric abnormalities. The vertical atlanto-axial subluxation and hydrocephalus were visualized by magnetic resonance imaging, which clearly demonstrated the basilar impression by the dens and ventricular enlargement. The patient recovered completely after ventriculo-cardial drainage.

KEY WORDS: Atlanto-axial subluxation, Rheumatoid arthritis, Hydrocephalus


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