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© 1990 British Society for Rheumatology

case-report

RHEUMATOID DISCITIS WITH CORD COMPRESSION AT THE THORACIC LEVEL

IRENE E. VAN DER HORST-BRUINSMA, H. M. MARKUSSE, J. D. MACFARLANE and C. J. VIELVOYE*

Departments of Radiology, University Hospital Leiden, The Netherlands
*Departments of Rheumatology, University Hospital eiden, The Netherlands

Correspondence to: Correspondence to Dr I. van der Horst-Bruinsma, Department of Rheumatology, University Hospital Leiden, Building 1, C2-Q, P.O. Box 9600, 2300 RC Leiden, The Netherlands.

A 63-year-old man presented with spinal cord compression caused by rheumatoid discitis at a high thoracic level. Nuclear magnetic resonance imaging proved to be very useful in evaluating the extent of the inflammatory process. Early decompression and internal fixation resulted in cure with only some residual functional impairment.

KEY WORDS: Rheumatoid arthritis, Myelopathy, Nuclear magnetic resonance imaging


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