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Case 54 - Rheumatoiddisease

from Section I - Neuroanesthesia

Published online by Cambridge University Press:  03 May 2011

By
David L. Adams  and
David W. Healy
Edited by
George A. Mashour  and
Ehab Farag
George A. Mashour
Affiliation:
University of Michigan
Ehab Farag
Affiliation:
Cleveland Clinic
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Summary

Rheumatoid arthritis (RA) is a progressive symmetrical, deforming inflammatory polyarthropathy with numerous extra-articular features. The skeletal effects of RA are characterized by an inflammatory synovitis with progressive destruction of cartilage. This chapter presents a case study of a 62-year-old female with seropositive rheumatoid arthritis presented for anterior cervical discectomy and fusion for long-term progressive pain and upper extremity myelopathy. Preoperative imaging consisted of plain radiographs and magnetic resonance imaging of the cervical spine. This case illustrates several important issues that must be considered when identifying the airway management options for patients with cervical spine pathology. When considering the airway options for a patient with disease at the occipito-atlanto-axial (OAA) complex an appreciation of the importance of this area in overall airway management is necessary. Careful preoperative evaluation and planning are essential; adequate time and personnel should be allocated to securing the airway in a controlled and safe manner.

Keywords

spine surgeriesskeletal abnormalitiesspinal deformityperipheral nervous system tumorsscoliosiscentral nervous system tumorsneurofibromatosis type 1
Type
Chapter
Information
Case Studies in Neuroanesthesia and Neurocritical Care , pp. 172 - 176
Publisher: Cambridge University Press
Print publication year: 2011

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