Magnetic resonance imaging of the craniovertebral junction in rheumatoid arthritis

E. L. Semble, A. D. Elster, R. F. Loeser, D. W. Laster, V. R. Challa, E. J. Pisko

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Conventional radiography and magnetic resonance imaging (MRI) of the craniovertebral junction were evaluated in 12 patients with longstanding rheumatoid arthritis (RA) and neck pain with or without other neurologic signs or symptoms of cervical myelopathy. MRI demonstrated abnormal soft tissue masses thought to represent pannus in 9 patients. Three patients showed cord or brainstem compression due to pannus or atlantoaxial subluxation. The 3 patients with MRI evidence of cord or brainstem compression had neurologic signs or symptoms of cervical myelopathy, and appropriate therapy was instituted based on these findings. This study indicates that MRI is able to detect abnormal soft tissue masses which probably represent pannus and their relationship to the spinal cord or brainstem, and confirms the utility of the procedure in the management of craniovertebral involvement in RA.

Original languageEnglish (US)
Pages (from-to)1367-1375
Number of pages9
JournalJournal of Rheumatology
Volume15
Issue number9
StatePublished - 1988
Externally publishedYes

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Rheumatoid Arthritis
Magnetic Resonance Imaging
Brain Stem
Spinal Cord Diseases
Neurologic Manifestations
Neck Pain
Radiography
Spinal Cord
Therapeutics

ASJC Scopus subject areas

  • Immunology
  • Rheumatology

Cite this

Semble, E. L., Elster, A. D., Loeser, R. F., Laster, D. W., Challa, V. R., & Pisko, E. J. (1988). Magnetic resonance imaging of the craniovertebral junction in rheumatoid arthritis. Journal of Rheumatology, 15(9), 1367-1375.

Magnetic resonance imaging of the craniovertebral junction in rheumatoid arthritis. / Semble, E. L.; Elster, A. D.; Loeser, R. F.; Laster, D. W.; Challa, V. R.; Pisko, E. J.

In: Journal of Rheumatology, Vol. 15, No. 9, 1988, p. 1367-1375.

Research output: Contribution to journalArticle

Semble, EL, Elster, AD, Loeser, RF, Laster, DW, Challa, VR & Pisko, EJ 1988, 'Magnetic resonance imaging of the craniovertebral junction in rheumatoid arthritis', Journal of Rheumatology, vol. 15, no. 9, pp. 1367-1375.
Semble EL, Elster AD, Loeser RF, Laster DW, Challa VR, Pisko EJ. Magnetic resonance imaging of the craniovertebral junction in rheumatoid arthritis. Journal of Rheumatology. 1988;15(9):1367-1375.
Semble, E. L. ; Elster, A. D. ; Loeser, R. F. ; Laster, D. W. ; Challa, V. R. ; Pisko, E. J. / Magnetic resonance imaging of the craniovertebral junction in rheumatoid arthritis. In: Journal of Rheumatology. 1988 ; Vol. 15, No. 9. pp. 1367-1375.
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