The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Atlantoaxial Joint Syndrome Misconceived as an Idiopathic Neuralgia -A case report-

특발성 신경통으로 오인된 환축추관절 증후군 -증례 보고-

  • Hong, Seong Joon (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University) ;
  • Lee, Jeong Beom (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University) ;
  • Jung, Seung Won (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University) ;
  • Kim, II Seok (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University) ;
  • Lim, So Young (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University) ;
  • Shin, Keun Man (Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University)
  • 홍성준 (한림대학교 의과대학 마취통증의학교실) ;
  • 이정범 (한림대학교 의과대학 마취통증의학교실) ;
  • 정승원 (한림대학교 의과대학 마취통증의학교실) ;
  • 김일석 (한림대학교 의과대학 마취통증의학교실) ;
  • 임소영 (한림대학교 의과대학 마취통증의학교실) ;
  • 신근만 (한림대학교 의과대학 마취통증의학교실)
  • Received : 2005.03.24
  • Accepted : 2005.05.03
  • Published : 2005.06.30
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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.

Keywords

References

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