TY - JOUR
T1 - Slow ascending myelopathy, tetraplegia, carcinoma of the bladder and amyloidosis in a patient with ankylosing spondylitis
AU - Zwecker, M.
AU - Daich, A.
AU - Blumen, N.
AU - Zeilig, G.
AU - Ohry, A.
PY - 2000
Y1 - 2000
N2 - Objective: We report a case of slow ascending myelopathy in a patient with ankylosing spondylitis (AS). Design: Case report of a 60-year-old patient suffering from AS, who developed over a period of 30 years a slow ascending myelopathy leading to tetraplegia, squamous cell carcinoma of the bladder and amyloidosis of the small intestine secondary to neuropathic bladder and bowel. Setting: Department and Outpatient's Department of Neurological Rehabilitation Sheba Medical Center, Tel Hashomer, Israel. Subject: Single patient case report. Main outcome measure: Clinical follow-up of the patient between the years 1959-1998. Results: Physical examination disclosed deteriorating incomplete tetraplegia with hypotonia and hyporreflexia. Neurogenic bladder and bowel complicated to squamous cell carcinoma and amyloidosis. Conclusion: To our knowledge, flaccid tetraplegia associated with AS, has never been reported in the literature. The possibility of vascular compression bq the ankylosed spine causing the clinical picture of flaccid tetraplegia in this patient is discussed.
AB - Objective: We report a case of slow ascending myelopathy in a patient with ankylosing spondylitis (AS). Design: Case report of a 60-year-old patient suffering from AS, who developed over a period of 30 years a slow ascending myelopathy leading to tetraplegia, squamous cell carcinoma of the bladder and amyloidosis of the small intestine secondary to neuropathic bladder and bowel. Setting: Department and Outpatient's Department of Neurological Rehabilitation Sheba Medical Center, Tel Hashomer, Israel. Subject: Single patient case report. Main outcome measure: Clinical follow-up of the patient between the years 1959-1998. Results: Physical examination disclosed deteriorating incomplete tetraplegia with hypotonia and hyporreflexia. Neurogenic bladder and bowel complicated to squamous cell carcinoma and amyloidosis. Conclusion: To our knowledge, flaccid tetraplegia associated with AS, has never been reported in the literature. The possibility of vascular compression bq the ankylosed spine causing the clinical picture of flaccid tetraplegia in this patient is discussed.
KW - Amyloidosis
KW - Slow ascending myelopathy
KW - Squamous carcinoma
KW - Tetraplegia
UR - http://www.scopus.com/inward/record.url?scp=0034106550&partnerID=8YFLogxK
U2 - 10.1038/sj.sc.3100924
DO - 10.1038/sj.sc.3100924
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 10822408
AN - SCOPUS:0034106550
SN - 1362-4393
VL - 38
SP - 327
EP - 329
JO - Spinal Cord
JF - Spinal Cord
IS - 5
ER -