Suggest medications for ankylosing spondilitis
Patient: I have ankylosing spondilitis & rheumatoid artrithis, I have developed a pain at the base of my skull & pressure in my head, got ct scan & lumbar puncture on thurs in hos as pain was so bad my gp thought i might have a bleed in the brain, but no. Cld this pain be caused by the ankylosing? They gave me meds but not working, I am also just finished simpoini injections & now on Humira, but had to come off them with last mth as due surgery for ovarian cyst. Doctor: Madam, Ankylosing spondylitis and also Rheumatoid arthritis can lead to few conditions in the cranio cervical junction, atlanto axial instability being the commonest. The pathology being close to your cervical spinal cord can have serious repercussions if not investigated and treated early.  If not done already, a CT scan of the cervical spine with dynamic x rays of neck of will help to pin point the exact cause. I would suggest you to consult a orthopaedic spine surgeon or a neurosurgeon. Hope this helps.