Magnetic Resonance Angiography for Vertebral Artery Evaluation in Rheumatoid Arthritis Patients

被引：10

作者：

Zenmyo, Michihisa ^{[1
]}

Ijiri, Kosei ^{[1
]}

Sasaki, Hiromi ^{[1
]}

Sakakima, Harutoshi ^{[1
]}

Taketomi, Eiji ^{[1
]}

Nagayoshi, Ryusaku ^{[1
]}

Yamamoto, Takuya ^{[1
]}

Komiya, Setsuro ^{[1
]}

机构：

[1] Kagoshima Grad Sch Med & Dent Sci, Dept Orthopaed Surg, Kagoshima, Japan

来源：

NEUROSURGERY | 2010年 / 66卷 / 06期

关键词：

Magnetic resonance angiography; Rheumatoid arthritis; Vertebral artery; TRANSARTICULAR SCREW FIXATION; CERVICAL-SPINE TRAUMA; MR-ANGIOGRAPHY; RISK-FACTOR; INJURY; MYELOPATHY; ORDER;

D O I：

10.1227/01.NEU.0000369192.96801.0B

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

OBJECTIVE: To examine the radiological features of vertebral artery (VA) displacement/occlusion associated with rheumatoid arthritis (RA) spine using magnetic resonance angiography. METHODS: Forty-seven RA patients with upper cervical lesions were evaluated for patency or abnormality of the VA by extracranial magnetic resonance angiography, with comparison of findings with those of 46 healthy volunteers. RESULTS: VA occlusion occurred in 4 patients (8.5%) and VA stenosis in 9 patients (19.1%). Anomaly of the VA was also observed in 3 patients (6.4%). No occlusion or anomaly was found in healthy volunteers, but 1 case of stenosis was found. Severity of vertical subluxation was correlated with the presence of VA abnormality in RA patients. CONCLUSION: The incidence of VA abnormality was 34% in RA patients and 2% in healthy volunteers. Magnetic resonance angiography is useful for screening for abnormality of the entire VA.

引用

页码：1174 / 1180

页数：7

共 31 条

[1] SONOGRAPHY OF VERTEBRAL ARTERIES IN DEKLEYN POSITION IN SUBJECTS AND IN PATIENTS WITH VERTEBROBASILAR TRANSIENT ISCHEMIC ATTACKS [J].

ARNETOLI, G ;

AMADORI, A ;

STEFANI, P ;

NUZZACI, G .

ANGIOLOGY, 1989, 40 (08) :716-720

[2] Morphologic characteristics of atlantoaxial complex in rheumatoid arthritis and surgical consideration among Chinese [J].

Chen, TY ;

Lin, KL ;

Ho, HH .

SPINE, 2004, 29 (09) :1000-1004

[3] Poor surgical technique in cervical plating leading to vertebral artery injury and brain stem infarction - case report [J].

Cho, KH ;

Shin, YS ;

Yoon, SH ;

Kim, SH ;

Ahn, YH ;

Cho, KG .

SURGICAL NEUROLOGY, 2005, 64 (03) :221-225

[4] CT analysis of the axis for transarticular screw fixation of rheumatoid atlantoaxial instability [J].

Chung, Sung Soo ;

Lee, Chong Suh ;

Chung, Hye Won ;

Kang, Chang Seok .

SKELETAL RADIOLOGY, 2006, 35 (09) :679-683

[5] RHEUMATOID ARTHRITIS OF CERVICAL SPINE - AN ANALYSIS OF 333 CASES [J].

CONLON, PW ;

ISDALE, IC ;

ROSE, BS .

ANNALS OF THE RHEUMATIC DISEASES, 1966, 25 (02) :120-&

[6] VERTEBRAL ARTERY INJURY AFTER ACUTE CERVICAL-SPINE TRAUMA - RATE OF OCCURRENCE AS DETECTED BY MR-ANGIOGRAPHY AND ASSESSMENT OF CLINICAL CONSEQUENCES [J].

FRIEDMAN, D ;

FLANDERS, A ;

THOMAS, C ;

MILLAR, W .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1995, 164 (02) :443-447

[7] A long-term follow-up study of cervical lesions in rheumatoid arthritis [J].

Fujiwara, K ;

Owaki, H ;

Fujimoto, M ;

Yonenobu, K ;

Ochi, T .

JOURNAL OF SPINAL DISORDERS, 2000, 13 (06) :519-526

[8] PLATE AND SCREW FIXATION FOR ATLANTOAXIAL SUBLUXATION [J].

GOEL, A ;

LAHERI, V .

ACTA NEUROCHIRURGICA, 1994, 129 (1-2) :47-53

[9] Circle of Willis collateral flow investigated by magnetic resonance angiography [J].

Hartkamp, MJ ;

van der Grond, J ;

van Everdingen, KJ ;

Hillen, B ;

Mali, WPTM .

STROKE, 1999, 30 (12) :2671-2678

[10]

HILLEN B, 1987, ACTA ANAT, V129, P74

← 1 2 3 4 →