Musculoskeletal radiology cppd crowned dens syndrome. By ep mccarron 2020 cited by 3 consider crowned dens syndrome cds in the differential diagnosis of older patients presenting with fever, neck pain and. By h nakano 2016 cited by 2 crowned dens syndrome developed after an endoscopic retrograde. By vs nikolaou 2015 cited by 1 crowned dens syndrome cds is a rare clinical entity characterized by acute neck pain due to calcification around the odontoid process of the axis in crown like. The crowned dens syndrome has been case report termed as acute neck pain ascribed to cppd deposits a 26yearold woman was admitted to our institution associated with a tomographic appearance of calcifi for acute severe pain, rigidity in the upper neck and pro cation surrounding the odontoid process. By a kuriyama 2014 cited by 7 article figures & tables metrics responses pdf. The crowned dens syndrome cds, also known as periodontoid calcium pyrophosphate dehydrate crystal deposition disease, is typified clinically by severe. Crowned dens syndrome illustrated by dual energy computed. Glucocorticoids and nsaids are commonly efficacious for treating cds.
Background the crowned dens syndrome is a rare presentation of calcium pyrophosphate deposition disease. By s goto 2007 cited by 106 this is an enhanced pdf from the journal of bone and joint surgery. The early and late stages of crowned dens syndrome. Of meningitis, but a close masquerader, albeit rare, is crowned dens syndrome. Calcium pyrophosphate deposition and crowned dens syndrome. They reported that the tomographic findings of 4 women with neck pain revealed dense radioopaque regions surrounding the top and sides of the odontoid process in a crown or halolike distribution. By pe ojemolon 2020 cited by 2 crowned dens syndrome cds is a relatively uncommon presentation of calcium pyrophosphate dihydrate cppd deposition disease that. Overall features were compatible with crowned dens syndrome.
A 0yearold man visited our emergency department owing to neck pain and occipital headache. Also seen in this patient not shown are multiple craniofacial fractures and parenchymal contusion hematomas. Pdf an 88yearold woman presented with fever and acute posterior neck pain. Crowned dens syndrome cds is a rare clinical entity characterized by acute neck. By y yip the term crowned dens syndrome cds was coined four decades ago to. Calcification of the transverse ligament of the atlas. Clinical and quantitative analysis of patients with. Defined crowned dens syndrome cds as neck pain due. By a oka 2015 cited by 34 patients with crowned dens syndrome cds, which is pseudogout of the atlantoaxial junction induced by crownlike calcifications around the dens, present. Crowned dens syndrome cds was first reported by bouvet et al 2 in. Any information contained in this pdf file is automatically generated from digital material submitted to. Crowned dens syndrome is characterized by acuteonset fever, head and cervical pain, and. Crowned dens syndrome incidentally diagnosed after.
To the best of our knowledge, this is the first report describing a patient with. By aar younis 2017 cited by 3 volume 28, issue 2, june 2017. Wu dw, reginato aj, torriani m, robinson dr, reginato am. The pdf of the article you requested follows this cover page. By k shikino 2017 cited by 8 crowned dens syndrome. Inflammatory neck pain and headaches pousses as a manifestation of. To our knowledge, the cases of only thirtyfive patients have been reported in the englishlanguage literature and. This rare condition is called crowned dens syndrome and. Acute presentations are typically accompanied by fever and an inflammatory. Crowned dens syndrome illustrated by dual energy computed tomography scan j clin rheumatol. Crowned dens syndrome cds is a rare form of calcium phos phate crystal depositions and often presents with recurrent neck pain. Mariana lechitzki hcufpr, curitiba, pr, brasil, ana luisa woidello miyazima hcufpr.
Radiographic and mdct findings of crowned dens syndrome. Crowned dens syndrome cds is a radioclinical entity defined by calcium deposition on the trans verse ligament of atlas tla. Crowned dens syndrome as an initial manifestation of. Crowned dens syndrome is characterized by neck pain and stiffness due to. Crowned dens syndrome david ledingham,1 cecilia cappelensmith,1,2 dennis cordato1,2 abstract crowned dens syndrome is a rare presentation of calcium pyrophosphate deposition disease. Crowned dens syndrome, an uncommon manifestation of calcium pyrophosphate deposition disease cppd. By a koyfman 2014 cited by 12 summary crystal deposition in the cervical spine around the odontoid process may lead to acute neck pain.
A man with headache, fever, and neck stiffness jama network. Clinical and quantitative analysis of patients with crowned. We report seven cases of crowned dens syndrome, assessing clinical and radiological features, associated conditions, therapy, and outcome. It is characterised by severe occipital pain and neck stiffness. Crowned dens syndrome is a rare presentation of calcium pyrophosphate deposition disease with. Crowned dens syndrome associated with bowel cleaning for. Crowned dens syndrome as a cause of acute neck pain. Crowned dens syndrome is characterized by recurrent neck pain related to radiodense deposits of hydroxyapatite or calcium pyrophosphate dihydrate in ligaments around the odontoid process, which create the appearance of a crown or halo surrounding the odontoid process on radiographic imaging. Crowned dens syndrome, pseudogout, polyethylene glycol, colonoscopy, computed tomography intern med advance publication doi.
The chart showing pdf series, word series, html series, scan qr codes. By t okamoto 2021 crowned dens syndrome cds is a rare form of pseudogout which causes acute neck pain due to calcium pyrophosphate dehydrate. Crowned dens syndrome journal of emergency medicine. The crowned dens syndrome cds is an important, underrecognized cause of neck pain caused by crystal. Crowned dens syndrome is a rare clinical condition that. Comarticles 48854 crowned dens syndrome masqueradingasmeningitis. By n belfiore 2012 return to article details crowned dens syndrome download download pdf. Frequency of atlantoaxial calcium pyrophosphate dihydrate. Crowned dens syndrome secondary to hyperparathyroidism.
Crowned dens syndrome cds is a cause of neck pain characterized by calcium deposition in the periodontoid tissues. Crowned dens syndrome misdiagnosed as polymyalgia rheumatica, giant cell arteritis, meningitis or spondylitis. A proper diagnosis is important and physicians should be aware of cds to. Patients with crowned dens syndrome typically present with severe neck. Crowned dens syndrome cds is a relatively rare clinical condition that is characterized by the unique radiographic feature of a crownlike calcium deposition around the odontoid process1. Calcium pyrophosphate deposition cppd disease in the aged. The clinical manifestations of crowned dens syndrome cds include acute. Pdf the clinical spectrum of crowned dens syndrome. Pdf poststroke crowned dens syndrome toshio fukutake. Fever of unknown origin with fluorodeoxyglucosecrowned. Computed tomography of the neck revealed curvilinear calcifications of the transverse ligament of the atlas figures 1 and 2. Acute odontogenic infection combined with crowned dens.
Ned by the association of microcrystalline deposition on the transverse ligament of atlas tla around the odontoid process and periodic acute cervicooccipital pain with fever, neck stiffness, and biological in. The crowned dens syndrome is an unusual manifestation of calcium pyrophosphate dihydrate crystal deposition disease and represents a rare cause of neck pain. Crowned dens syndrome cds is a radioclinical entity de. The spine journal 13 2013 11611162 poststroke crowned dens syndrome a 64yearold man with left hemiparesis was referred to our hospital. The crowned dens syndrome cds is a rare disease, caused by calcium pyrophosphate dihydrate cppd crystal deposition around the odontoid process of the axis and in the synovial atlantoaxial joint. By hah albitar 201 findings, our suspicion for crowned dens syndrome cds was high. By t soma 201 cited by 1 calcium pyrophosphate dihydrate crystal deposition disease is a condition in which calcium pyrophosphate dihydrate crystal is deposited in. Crowned dens syndrome the american journal of medicine.
The crowned dens syndrome cds is characterised by the association of. We present a unique case of crowned dens syndrome cds that. Crowned dens syndrome rhode island medical society. By ey chang 2013 cited by 3 atlantoaxial cppd crystal deposition and retroodontoid softtissue thickness. By a koyfman 2014 cited by 12 crystal deposition in the cervical spine around the odontoid process may lead to acute neck pain. Delayed diagnosis of an upper cervical epidural abscess. A notable manifestation of spinal deposition is the crowned dens syndrome, which is caused by cppd around the odontoid process of the c2 vertebra 23 fig. 852716 introduction cervical pseudogout is known as crowned dens syndrome cds because of the radiological findings of a crownlike feature surrounding the odontoid process dens. Crowned dens syndrome, crystalline deposition disease. Crowned dens syndrome developed after an endoscopic.
The crowned dens syndrome cds was aptly named because it appears radiologically as crownshaped or haloshaped distributions when deposits surround the odontoid process 1,2. Crowned dens syndrome is an uncommon manifestation of calcium pyrophosphate deposition disease. Crowned dens syndrome is accompanied by fever in addition to acute and intense neck, posterior head, and temporal pain. And crownshaped calcium deposits surrounding the odontoid process panel c, arrowheads. By pl lu 2020 cited by 1 to assess the prevalence of calcification surrounding the odontoid process odontoid calcification with crowned dens syndrome cds and without cds. By ao bamgboje 2021 crowned dens syndrome masquerading as meningitis.
The calcium deposits are thought to be composed of calcium. Patients with crowned dens syndrome typically present with severe neck pain and have calcium deposits around the odontoid process of the axis on radiographs. % of patients, not necessarily with cppd, who underwent ct scans had evidence of this condition in the dens area, though only 12. Defined crowned dens syndrome cds as neck pain due to calcification surrounding the odontoid process. Background the crowned dens syndrome, related to microcrystalline deposition in the periodontoid articular and abarticular structures, is mainly. Pdf background the crowned dens syndrome is a rare presentation of calcium pyrophosphate deposition disease. An 80yearold japanese woman presented to the clinic with a 1day history of acute fever, severe neck pain, and. Incidentally noted in a patient with a history of a fall. By h lim 201 crowned dens syndrome cds is a clinicoradiographic entity defined by an acute onset of cervicooccipital pain, fever, nuchal rigidity, and radiological. By r yachoui 2017 the crowned dens syndrome is an unusual manifestation of calcium pyrophosphate dihydrate crystal deposition disease and represents a rare cause of neck. Pdf crowned dens syndrome misdiagnosed as polymyalgia. By a oka 2015 cited by 34 department of emergency and critical care medicine, faculty of medicine, shimane university, enyacho, izumocity, shimane prefecture.
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