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December 12, 1977

Brain-Stem Compression in Rheumatoid Arthritis

Author Affiliations

From the Department of Medicine (Drs Davidson and Horn), Department of Neurosurgery (Dr Grin), and Department of Orthopaedic Surgery (Dr Herndon), Michigan State University College of Human Medicine, Grand Rapids.

JAMA. 1977;238(24):2633-2634. doi:10.1001/jama.1977.03280250059026

A woman had cervical C-1 to C-2 subluxation with dysphagia. Initial improvement with halo cast and posterior fusion was followed by recurrence of symptoms, but transpharyngeal resection of the odontoid process had continued to alleviate symptoms at 18-month follow-up examination. The importance of vertical C-1 to C-2 subluxation in rheumatoid cervical arthritis is emphasized.

(JAMA 238:2633-2634, 1977)