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Scholars Journal of Medical Case Reports | Volume-14 | Issue-05
Atlantoaxial Dislocation in Rheumatoid Arthritis: A Case Report Emphasizing the Pivotal Role of MRI
I. Kazouini, O. Fahir, Y. Bouktib, A. Elhajjami, B. Boutakioute, M. Ouali Idrissi, N. Cherif Idrissi Ganouni
Published: May 22, 2026 |
16
9
Pages: 1127-1130
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Abstract
Atlantoaxial dislocation (AAD) is a potentially severe complication of rheumatoid arthritis (RA), resulting from chronic synovial inflammation and ligamentous destruction. It may remain clinically silent or present with polymorphic symptoms. Magnetic resonance imaging (MRI) is essential for early diagnosis to prevent neurological complications. We report the case of a 45-year-old female with a known history of RA under treatment, presenting with progressive neck pain. MRI revealed atlantoaxial instability and confirmed anterior atlantoaxial dislocation with synovial pannus and no evidence of spinal cord compression.


