MRI Appearance of Lumbosacral Spine in a Patient with Ankylosing Spondylitis and Cauda Equina Syndrome
نویسنده
چکیده
Cauda equina syndrome is an unusual complication of ankylosing spondylitis. We present a case of a 68-year-old woman with long-standing ankylosing spondylitis who developed cauda equina syndrome. MRI revealed a characteristic widening of the lumbosacral thecal sac and numerous dorsal thecal diverticula. MRI is a powerful, noninvasive tool to confirm the diagnosis and exclude a treatable compressive lesion and provides a good alternative to myelography, an invasive and potentially dangerous procedure in such patients.
منابع مشابه
Cauda Equina Syndrome Associated with Dural Ectasia in Chronic Anlylosing Spondylitis
Cauda equina syndrome (CES) associated with dural ectasia is a rare neurologic complication in patients with longstanding ankylosing spondylitis (AS). We report a 68-year-old male with a 30-year history of AS who presented a typical symptom and signs of progressive CES, urinary incontinence and neuropathic pain of the lumbosacral radiculopathy. Computed tomography (CT) and magnetic resonance im...
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We present a patient with longstanding ankylosing spondylitis complicated with cauda equina syndrome. The patient suffered from increasing pain in the leg with reduced sensitivity and extremely cold feet associated with incontinence. Diagnostic workup revealed dural ectasia, arachnoiditis and a spinal inflammatory mass leading to extensive vertebral bone destruction. Of interest, this was not o...
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