Damage to the cervical spine with rheumatoid arthritis – difficulties of dianostics and patient management
E. I. Shmidt,
A. A. Klimenko,
A. V. Novikova,
M. A. Nekrasov,
L. P. Belikova,
A. P. Raksha,
V. V. Babenkov,
G. A. Arutyunyan,
M. R. Mazra https://doi.org/10.47360/1995-4484-2025-104-111
Abstract
The article presents a description of a 73-year-old patient with rheumatoid arthritis, complicated by the development of a neurological deficit in the form of tetraparesis. Magnetic resonance imaging of the cervical spine revealed destruction of the C2 odontoid process with its replacement by a pannus, atlantoaxial subluxation, compression of the proximal segments of the spinal cord, and a compression fracture of C5.
About the Authors
E. I. Shmidt
City Clinical Hospital N 1 named after N.I. Pirogov, Moscow City Health Department; N.I. Pirogov Russian National Research Medical University
Russian Federation
Competing Interests:
Russian Federation
Evgeniya I. Shmidt.
117049, Moscow, Leninskiy avenue, 8; 117997, Moscow, Ostrovitianova str., 1
Competing Interests:
None
A. A. Klimenko
N.I. Pirogov Russian National Research Medical University
Russian Federation
Competing Interests:
Russian Federation
Аlesya А. Klimenko.
117997, Moscow, Ostrovitianova str., 1
Competing Interests:
None
A. V. Novikova
N.I. Pirogov Russian National Research Medical University
Russian Federation
Competing Interests:
Russian Federation
Аnna V. Novikova.
117049, Moscow, Leninskiy avenue, 8
Competing Interests:
None
M. A. Nekrasov
City Clinical Hospital N 1 named after N.I. Pirogov, Moscow City Health Department
Russian Federation
Competing Interests:
Russian Federation
Mikhail А. Nekrasov.
117049, Moscow, Leninskiy avenue, 8
Competing Interests:
None
L. P. Belikova
City Clinical Hospital N 1 named after N.I. Pirogov, Moscow City Health Department
Russian Federation
Competing Interests:
Russian Federation
Larisa P. Belikova.
117049, Moscow, Leninskiy avenue, 8
Competing Interests:
None
A. P. Raksha
City Clinical Hospital N 1 named after N.I. Pirogov, Moscow City Health Department
Russian Federation
Competing Interests:
Russian Federation
Aleksander P. Raksha.
117049, Moscow, Leninskiy avenue, 8
Competing Interests:
None
V. V. Babenkov
City Clinical Hospital N 1 named after N.I. Pirogov, Moscow City Health Department
Russian Federation
Competing Interests:
Russian Federation
Vadim V. Babenkov.
117049, Moscow, Leninskiy avenue, 8
Competing Interests:
None
G. A. Arutyunyan
N.I. Pirogov Russian National Research Medical University
Russian Federation
Competing Interests:
Russian Federation
Gamlet A. Arutyunyan.
117997, Moscow, Ostrovitianova str., 1
Competing Interests:
None
M. R. Mazra
N.I. Pirogov Russian National Research Medical University
Russian Federation
Competing Interests:
Russian Federation
Marianna R. Mazra.
117997, Moscow, Ostrovitianova str., 1
Competing Interests:
None
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Review
For citations:
Shmidt E.I., Klimenko A.A., Novikova A.V., Nekrasov M.A., Belikova L.P., Raksha A.P., Babenkov V.V., Arutyunyan G.A., Mazra M.R. Damage to the cervical spine with rheumatoid arthritis – difficulties of dianostics and patient management. Rheumatology Science and Practice. 2025;63(1):104-111. (In Russ.) https://doi.org/10.47360/1995-4484-2025-104-111
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