특발성 신경통으로 오인된 환축추관절 증후군 - 증례 보고

• Published in: The Korean journal of pain Vol. 18; no. 1; pp. 48 - 51
• Main Authors: 홍성준, Seong Joon Hong, 이정범, Jeong Beom Lee, 정승원, Seung Won Jung, 김일석, Il Seok Kim, 임소영, So Young Lim, 신근만, Keun Man Shin
• Format: Journal Article
• Language: Korean
• Published: 대한통증학회 30.06.2005
• Subjects: atlantoaxial joint; neuralgia; osteoarthritis; rheumatoid arthritis; 마취과학; neuralgia; atlantoaxial joint; rheumatoid arthritis; osteoarthritis
• ISSN: 2005-9159; 1226-2579; 2093-0569

Although the atlantoaxial joint is the most common site of rheumatoid arthritis, our patient had no symptoms or signs suggestive of rheumatoid arthritis. The atlantoaxial joint is frequently involved in degenerative osteoarthritis, especially in elderly patients. An 81-year old man presented with severe intermittent electric shock like, lancinating pain from the occipital to the temporal and parietofrontal areas. He also had neck pain and a limited range of motion. After many examinations and laboratory tests, at the department of neurology and neurosurgery, he was diagnosed with idiopathic neuralgia. The diagnosis of atlantoaxial joint syndrome was confirmed, and treated successfully with atlantoaxial joint block.