Crowned Dens Syndrome
| Autor: | Anna Koyfman, Daniel Yaffe |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Disease Calcinosis Odontoid Process Biopsy medicine Humans Radiology Nuclear Medicine and imaging Neck pain Ligaments Neck Pain medicine.diagnostic_test Lumbar puncture business.industry Original Articles General Medicine Middle Aged medicine.disease Surgery medicine.anatomical_structure Alar ligament Etiology Female Spinal Diseases Neurology (clinical) medicine.symptom Differential diagnosis Tomography X-Ray Computed business |
| Zdroj: | The Neuroradiology Journal. 27:495-497 |
| ISSN: | 2385-1996 1971-4009 |
| Popis: | Crystal deposition in the cervical spine around the odontoid process may lead to acute neck pain. This rare condition is called crowned dens syndrome and should be considered in the differential diagnosis of a possible etiology for fever, headache and cervical pain of unknown origin. The syndrome is often overlooked, thus leading to misdiagnosis, invasive and useless investigations (lumbar puncture, biopsy), inappropriate treatment (steroids, antibiotics, antiviral drugs) and prolonged hospitalization. This can be prevented by imaging, based on a cervical CT scan that allows an accurate diagnosis. The disease has a good prognosis and symptoms usually subside within a few weeks. We describe a patient with crowned dens syndrome which manifested with clinical (acute occipital headache) and radiographic (calcium deposits in the alar ligament) features. Our patient recovered in four days with symptomatic therapy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|