Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-10T12:42:29.771Z Has data issue: false hasContentIssue false

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
Get access

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×