Tamura Ryota, Takahashi Satoshi, Kamamoto Dai, Horikoshi Tomo, Yoshida Kazunari
Department of Neurosurgery, Keio University Hospital, Tokyo, Japan.
NMC Case Rep J. 2016 Nov 29;4(1):15-17. doi: 10.2176/nmccrj.cr.2016-0105. eCollection 2017 Jan.
Crowned dens syndrome (CDS) is a rare disease which presents with neck pain and rigidity. A 74-year-old man with right chronic subdural hematoma (CSDH) underwent hematoma drainage. After the operation, he complained of neck pain and laboratory test revealed elevation of C-reactive protein (CRP) and white blood cell (WBC). Suspecting localized infection, wound irrigation was performed. Neck pain relieved after irrigation, but we could not find the source of infection. CDS was diagnosed by computed tomography (CT). CDS is frequently misdiagnosed as meningitis and localized infection. CT is useful for diagnosis. Neurosurgeons need to be aware of CDS after operation.
颅底陷入综合征（CDS）是一种罕见疾病，表现为颈部疼痛和僵硬。一名74岁患有右侧慢性硬膜下血肿（CSDH）的男性接受了血肿引流术。术后，他主诉颈部疼痛，实验室检查显示C反应蛋白（CRP）和白细胞（WBC）升高。怀疑有局部感染，进行了伤口冲洗。冲洗后颈部疼痛缓解，但我们未能找到感染源。通过计算机断层扫描（CT）诊断为CDS。CDS常被误诊为脑膜炎和局部感染。CT有助于诊断。神经外科医生术后需要警惕CDS。
