Ankylosing spondylitis is a chronic, autoimmune disease affecting the spine. Involvement of the cervical spine, atlanto occipital, temporomandibular and cricoarytenoid joints leads to difficulty in airway management and securing airway by conventional laryngoscopy. We report a case of severe ankylosing spondylitis with severe restriction in neck movements and limited mouth opening. Conventional laryngoscopy and endotracheal intubation was impossible in this patient as there was no movement at the atlanto-occipital join. So, we decided to use King Vision (TM) video laryngoscope for intubation which proved to be of great use. (C) 2016 Publishing services by Elsevier B.V. on behalf of Egyptian Society of Anesthesiologists.