Atlantoaxial Subluxation in a Patient with Ankylosing Spondylitis Who Presented with Progressive Quadriplegia after Minor Trauma

脊椎損傷在急診部門並非罕見的急症，因為輕微外傷導致寰椎與樞椎的半脫位而以漸進性的四肢麻痺來表現則相當少見。我們報告一位38歲僵直性脊椎炎的男性患者，一開始感覺右手臂無力，在一個月後無力的情形惡化且蔓延至四肢。在來到我們的急診室的前10天，病患因為無力而跌倒，造成四肢麻痺及臥床在家。因為四肢麻痺，頸部疼痛及尿失禁被轉送至我們的急診，頸椎的2-D電腦斷層顯示寰椎與樞椎的半脫位。經過保守及支持性的治療後，病患狀況穩定而於46天後出院。

關鍵字

僵直性脊椎炎；四肢麻痺；寰椎與樞椎

並列摘要

Atlantoaxial subluxation due to minor trauma manifesting with progressive quadriplegia is rare. We present a case in a 38-year-old man who had ankylosing spondylitis for 10 years. The patient initially had right arm weakness, which progressed to bilateral upper and lower extremity weakness within one month. Ten days prior to referral to the emergency department (ED), lie fell and was totally bed-ridden with quadriplegia. Two-dimensional computed tomographic (CT) scan of the C- spine performed in the ED demonstrated atlantoaxial subluxation. Conservative supportive treatment was suggested and he was discharged in stable condition 46 days later.

並列關鍵字

ankylosing spondylitis ； guadriplegia ； atlantoaxial subluxation

國際替代計量

Atlantoaxial Subluxation in a Patient with Ankylosing Spondylitis Who Presented with Progressive Quadriplegia after Minor Trauma

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