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2020, Number 3

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Rev Fac Med UNAM 2020; 63 (3)

Crowned Dens Syndrome, an Unusual Manifestation of Cervical Pain. A Case Report

González RPP, Pérez RJ, Mantilla HJP

Language: Spanish
References: 8
Page: 23-25
PDF size: 280.05 Kb.


ABSTRACT

The calcium pyrophosphate dehydrate (CPPD) or hydroxyapatite (HA) crystal deposition disease can appear in any joint and the accumulation fo crystals in the cervical spine may be painful. Crowned dens syndrome is a rare clinical condition that involves crown-like calcification of the ligaments around the odontoid process. A 70-year-old man presented cervical pain, fever and a headache for over a week, therefore, a neurological condition was suspected. A CT scan revealed lentiform calcifications of the transverse ligament of the atlas. Steroid treatment and a non-steroidal anti-inflammatory diminished the symptoms. A proper clinical history and imaging studies avoid unnecessary procedures and makes it possible to include this entity as a differential diagnosis in acute cervical pain.


REFERENCES

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