A rare, acute neurologic deterioration associated with the overactive autoimmune response of ankylosing spondylitis after cervical laminoplasty: A case report

Medicine
Hua ChenChen Ding

Abstract

We report a rare, acute neurological deterioration after cervical laminoplasty due to post-decompression spinal cord edema associated with ankylosing spondylitis in a 52-year old male patient. The patient was diagnosed with cervical spondylotic myelopathy due to ossification of the posterior longitudinal ligament which was complicated by ankylosing spondylitis. A cervical laminoplasty was performed, adversely resulting in paraparesis and loss of tactile sense. An emergency CT scan following the first laminoplasty revealed that the spinal cord compression due to spinal cord swelling and limited-expansion in cervical canal space. The abnormal pathological state of ankylosing spondylitis may have aggravated spinal cord re-perfusion and increased edema after decompression. Paraparesis and loss of tactile sense after the surgery immediately. Acute neurological deterioration after cervical laminoplasty. A second emergency surgery was performed to remove the C2-C5 laminae. Six months later, the patient had experienced slight improvement in neurological function. Abnormal spinal cord immune inflammatory reaction associated with ankylosing spondylitis and limited decompression may lead to acute neurological deterioration. The potential ...Continue Reading

References

Aug 17, 2004·Journal of Korean Medical Science·Kyeong-Seok LeeIl-Gyu Yun
Jan 1, 1980·The Journal of Orthopaedic and Sports Physical Therapy·A J SaranitiJ A Nicholas
Oct 24, 2008·Scandinavian Journal of Clinical and Laboratory Investigation·O ReikeråsJ I Brox
Nov 5, 2008·Neurosurgical Focus·Henry Ahn, Michael G Fehlings
Jun 30, 2009·Inflammation Research : Official Journal of the European Histamine Research Society ... [et Al.]·Olav ReikeråsJens Ivar Brox
Aug 7, 2009·Acta neurochirurgica·Kyongsong KimAkira Teramoto
Dec 18, 2013·The Spine Journal : Official Journal of the North American Spine Society·Hideki ShigematsuYasuhito Tanaka
Jul 16, 2014·Clinical Spine Surgery : a Spine Publication·Hua ChenQingquan Kong
May 7, 2015·Journal of the Chinese Medical Association : JCMA·Kuang-Ting YehWen-Tien Wu
Jan 24, 2017·Lancet·Joachim Sieper, Denis Poddubnyy

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