Korean J Pain.  2005 Jun;18(1):48-51. 10.3344/kjp.2005.18.1.48.

Atlantoaxial Joint Syndrome Misconceived as an Idiopathic Neuralgia: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Seoul, Korea. kmshin1@yahoo.co.kr

Abstract

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.

Keyword

atlantoaxial joint; neuralgia; osteoarthritis; rheumatoid arthritis

MeSH Terms

Aged
Aged, 80 and over
Arthritis, Rheumatoid
Atlanto-Axial Joint*
Diagnosis
Humans
Neck Pain
Neuralgia*
Neurology
Neurosurgery
Osteoarthritis
Range of Motion, Articular
Shock
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