Cervical Spine Involvement: A Rare Manifestation of Reiter's Syndrome



Khodakaram Rastegar 1, Hossein Ghalaenovi*, 1, Ali Babashahi 1, Nasrin Shayanfar 2, Mohammad Jafari 3, Mehrdad Jalalian 4, Arash Fattahi 3
1 Neurosurgery ward of Rasool-e-Akram Hospital Complex, Department of Neurosurgery, Iran University of Medical Science, Tehran, Iran
2 Pathology ward of Rasool-e-Akram Hospital Complex, Department of Pathology, Iran University of Medical Science, Tehran, Iran
3 Medical Doctor, Resident of Neurosurgery, Neurosurgery Ward of Rasool-e-Akram Hospital Complex, Department of Neurosurgery, Iran University of Medical Science, Tehran, Iran
4 Editor In-Chief, Electronic Physician, Mashhad, Iran


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© Rastegar et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Neurosurgery ward of Rasool-e-Akram Hospital Complex, Department of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran; Tel: +98.9124623806; Fax: +98.2164352228; E-mail: hghalaenovi@yahoo.com


Abstract

Spine involvement is less common in Reiter's syndrome than in other seronegative spondyloarthropathies. Also, cervical spine involvement rarely occurs in Reiter's syndrome and other spondyloarthropathies. This paper reports a rare case of Reiter's syndrome in which there was cervical spine involvement that presented clinically as an atlanto-axial rotatory subluxation. Reiter's Syndrome (RS) is one of the most common types of seronegative spondyloarthropathies (SSAs) that presents clinically with a triad of symptoms, i.e., conjunctivitis, urethritis, and arthritis. This case highlighted the importance of radiographs of the lateral cervical spine and dynamic cervical imaging for all patients who have Reiter's syndrome with cervical spine symptoms to ensure that this dangerous abnormality is not overlooked.

Keywords: Atlanto-axial rotatory subluxation, Reiter’s syndrome, spondyloarthropathy..