颅底凹陷症：6例报告及文献复习
Crowned dens syndrome: reports of six cases and review of the literature.
作者信息
Tajima Kosuke, Ueda Tomoko, Ueno Koichi, Shimizu Chikako, Yoshizawa Joe, Hori Shingo
机构信息
Department of Emergency and Critical Care Medicine School of Medicine Keio University Tokyo Japan.
出版信息
Acute Med Surg. 2015 Aug 12;3(2):155-158. doi: 10.1002/ams2.147. eCollection 2016 Apr.
CASE
We have reported six cases of Crowned dens syndrome (CDS) diagnosed by computed tomography (CT). Presenting cases were three male and three female, aged from 45 to 89 (averaged in 72).
OUTCOME
All cases showed calcification around the dens of axis in CTs. Neck pain in all cases relieved within at least 10 days, treated by non-steroidal anti-inflammatory drugs (NSAIDs) in five cases, and one by acetaminophens.
CONCLUSION
Bouvet . first reported CDS in 1985, as acute pseudogout of the neck, which causes neck pain. CDS is a radioclinical syndrome defined by the radiographic calcifications in a crown-like configuration around the odontoid process, accompanied clinically by acute neck pain, often with neck stiffness, fevers and raised inflammatory markers. CDS is thought to be a rare condition; however, it is frequently misdiagnosed. CDS is an important differential diagnosis in patients presenting with acute neck pain.
病例
我们报告了6例经计算机断层扫描（CT）诊断的齿突冠综合征（CDS）。病例包括3名男性和3名女性，年龄在45至89岁之间（平均72岁）。
结果
所有病例的CT均显示枢椎齿突周围有钙化。所有病例的颈部疼痛在至少10天内缓解，5例采用非甾体抗炎药（NSAIDs）治疗，1例采用对乙酰氨基酚治疗。
结论
布维于1985年首次报告CDS，称其为颈部急性假性痛风，可引起颈部疼痛。CDS是一种放射临床综合征，其定义为齿突周围呈冠状分布的放射学钙化，临床上伴有急性颈部疼痛，常伴有颈部僵硬、发热和炎症指标升高。CDS被认为是一种罕见疾病；然而，它经常被误诊。CDS是急性颈部疼痛患者的重要鉴别诊断。
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