Crowned Dens Syndrome, An Unusual Manifestation of Cervical Pain: A Case Report
DOI:
https://doi.org/10.53903/01212095.93Keywords:
Chondrocalcinosis, Neck pain, Odontoid process, Tomography, X-Ray computed, HeadacheAbstract
The calcium pyrophosphate dehydrate (CPPD) or hydroxyapatite (HA) crystal deposition disease can manifest in any joint and when it comprises the cervical spine can lead to pain. Crowned dens syndrome is a rare clinical condition that is featured by crown-like calcification of ligaments around the odontoid process. We describe the case of a 70-year-old man with cervical pain, headache and fever for over a week in whom a neurological condition was suspected. A CT scan revealed lentiform calcifications of the transverse ligament of the atlas. Treatment with steroids and non-steroidal anti-inflammatory improve the symptoms. A proper clinical history and imaging studies avoid unnecessary procedures and can let this entity to be included as a differential diagnosis in acute cervical pain.
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