Kohno Naoto, Kobori Yoichiro, Yamaguchi Shuhei
Department of Internal Medicine, Seto Inland Sea Hospital, Japan.
Department of Neurology, Faculty of Medicine, Shimane University, Japan.
Intern Med. 2017 Oct 1;56(19):2645-2647. doi: 10.2169/internalmedicine.8527-16. Epub 2017 Sep 6.
A 77-year-old man was admitted with posterior cervical pain, lumbago, a low-grade fever, and anorexia after bowel cleaning with polyethylene glycol for colonoscopy. Computed tomography of the neck showed calcification of the transverse ligament of the atlas. He was diagnosed with crowned dens syndrome (CDS). His condition improved following treatment with corticosteroids. This represents a rare case of CDS after endoscopy with polypectomy. We should consider CDS in the differential diagnosis of patients with unexplained fever and posterior cervical pain after bowel preparation for colonoscopy.
一名77岁男性在使用聚乙二醇进行肠道清洁以准备结肠镜检查后，出现颈后部疼痛、腰痛、低热和厌食症状入院。颈部计算机断层扫描显示寰椎横韧带钙化。他被诊断为齿状突冠突综合征（CDS）。经皮质类固醇治疗后病情好转。这是一例结肠镜息肉切除术后罕见的CDS病例。对于结肠镜检查肠道准备后出现不明原因发热和颈后部疼痛的患者，我们在鉴别诊断时应考虑CDS。
