Combination of transverse myelitis and arachnoiditis in cauda equina syndrome of long-standing ankylosing spondylitis: MRI features and its role in clinical management

2007 ◽  
Vol 26 (11) ◽  
pp. 1963-1967 ◽  
Author(s):  
Howard Haw-Chang Lan ◽  
Der-Yuan Chen ◽  
Clayton Chi-Chang Chen ◽  
Joung-Liang Lan ◽  
Chia-Wei Hsieh
Keyword(s):  
Ankylosing Spondylitis ◽  
Clinical Management ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Transverse Myelitis ◽  
Mri Features

Cauda Equina Syndrome in Ankylosing Spondylitis: Challenges in Diagnosis, Management, and Pathogenesis

2019 ◽  
Vol 46 (12) ◽  
pp. 1582-1588 ◽  
Author(s):  
Chen Tang ◽  
Franklin G. Moser ◽  
John Reveille ◽  
Jane Bruckel ◽  
Michael H. Weisman
Keyword(s):  
Ankylosing Spondylitis ◽  
Medical Records ◽  
Cauda Equina Syndrome ◽  
Early Recognition ◽  
Laboratory Data ◽  
Cauda Equina ◽  
Spinal Fractures ◽  
Neurologic Complication ◽  
Facet Joints ◽  
Imaging Studies

Objective.Cauda equina syndrome (CES) is a rare neurologic complication of longstanding ankylosing spondylitis (AS). It is unclear what causes CES, and no proven or effective therapy has been reported to date. We have encountered 6 patients with longstanding AS diagnosed with CES. We set about to study their features, review the literature, and generate hypotheses regarding pathophysiology, as well as to speculate on the possibilities of early recognition and prevention.Methods.We obtained permission from 6 patients with longstanding AS and CES to access their medical records and imaging studies for research purposes related to this paper. We collected and reviewed each patient’s medical history, imaging studies, disease duration, past therapies especially those that relate to AS, laboratory data, as well as any treatment they received for CES and followup results of each case to the present time.Results.The 6 cases of CES with AS have remarkable similarity to each other in that several decades of the disease had passed before neurologic symptoms and later signs appeared. All cases have fused spines and facet joints without spinal fractures, spinal stenosis, or disc herniation.Conclusion.CES is a rare yet debilitating neurologic complication of longstanding AS. The pathophysiology and treatments are far from clear. We postulate that chronic enthesitis of the vertebral column initiates the process that results in dural stiffening and formation of ectasias, causing downstream nerve root damage.

Ankylosing spondylitis: cauda equina syndrome with multiple spinal arachnoid cysts

1971 ◽  
Vol 34 (2) ◽  
pp. 241-243 ◽  
Author(s):  
Wolf Rosenkranz
Keyword(s):  
Ankylosing Spondylitis ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Arachnoid Cysts ◽  
Content Type ◽  
Neural Canal ◽  
Fine Print

✓ A case of ankylosing spondylitis in a patient with a cauda equina syndrome is reported. A lumbar myelogram revealed erosions of the bones of the neural canal with enclosed multiple intraspinal cysts.

Cauda Equina Syndrome in Ankylosing Spondylitis

Spine ◽  
2010 ◽  
Vol 35 (24) ◽  
pp. E1423-E1429 ◽  
Author(s):  
Hang-Korng Ea ◽  
Frédéric Lioté ◽  
Guillaume Lot ◽  
Thomas Bardin
Keyword(s):  
Ankylosing Spondylitis ◽  
Cauda Equina Syndrome ◽  
Cauda Equina

Magnetic Resonance Imaging of Cauda Equina Syndrome in Ankylosing Spondylitis: A Case Report

1995 ◽  
Vol 5 (1) ◽  
pp. 46-48 ◽  
Author(s):  
Robert A. Koenigsberg ◽  
Jonathan Klahr ◽  
Joseph L. Zito ◽  
Mahendra Patel ◽  
Steven Carsons
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Ankylosing Spondylitis ◽  
Magnetic Resonance ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Resonance Imaging

Anterior dural ectasia mimicking a lytic lesion in the posterior vertebral body in ankylosing spondylitis

2011 ◽  
Vol 15 (6) ◽  
pp. 636-640 ◽  
Author(s):  
Keerthiraj Bele ◽  
Hima Shriniwas Pendharkar ◽  
Easwer Venkat ◽  
Arun Kumar Gupta
Keyword(s):  
Ankylosing Spondylitis ◽  
Cauda Equina Syndrome ◽  
Imaging Finding ◽  
Cauda Equina ◽  
Lytic Lesion ◽  
Unique Case ◽  
Posterior Aspect ◽  
Rare Finding ◽  
Dural Ectasia ◽  
Vertebral Bodies

Anterior dural ectasia is an extremely rare finding in ankylosing spondylitis (AS). The authors describe a unique case of AS in which the patient presented with cauda equina syndrome as well as an unusual imaging finding of erosion of the posterior aspect of the L-1 (predominantly) and L-2 vertebral bodies due to anterior dural ectasia. Symptomatic patients with long-standing AS should be monitored for the presence of dural ectasia, which can be anterior in location, as is demonstrated in the present case.

Reports Arachnoiditis in the Cauda Equina Syndrome of Longstanding Ankylosing Spondylitis

1993 ◽  
Vol 3 (1) ◽  
pp. 55-57
Author(s):  
Kersti Bruining ◽  
Kenneth Weiss ◽  
Barbara Zeifer ◽  
Christopher Comfort ◽  
Jerry G. Kaplan
Keyword(s):  
Ankylosing Spondylitis ◽  
Cauda Equina Syndrome ◽  
Cauda Equina
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