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颈椎椎体终板炎作为急性颈部疼痛的病因:病例报告及文献复习

Crowned Dens Syndrome as a cause of acute neck pain: a Case Report and Review of the Literature.

作者信息

Younis Ali Abdul-Rahman

机构信息

Rheumatology Department, Faruk Medical City, Sulaymaniah, Iraq.

出版信息

Mediterr J Rheumatol. 2017 Jun 27;28(2):101-105. doi: 10.31138/mjr.28.2.101. eCollection 2017 Jun.

DOI:10.31138/mjr.28.2.101
PMID:32185265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7046027/
Abstract

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" configuration. Crystalline deposition in cervical vertebrae is less well known disease entity and only a limited number of cases have been reported to date. I here present a case of 79-year- old woman who developed acute severe neck pain and stiffness. Cervical computed tomography (CT) scan detected periodontoid calcification and a diagnosis of Crowned dens syndrome was made. Crowned dens syndrome should be considered in the differential diagnosis of acute neck pain, particularly in old age patients.

摘要

齿突冠综合征(CDS)是一种罕见的临床病症,其特征为枢椎齿突周围呈“冠状”形态的钙化导致急性颈部疼痛。颈椎椎体的晶体沉积是一种鲜为人知的疾病实体,迄今为止仅有少数病例报道。在此,我报告一例79岁女性患者,她出现了急性严重颈部疼痛和僵硬。颈椎计算机断层扫描(CT)检测到齿突周围钙化,从而诊断为齿突冠综合征。在急性颈部疼痛的鉴别诊断中,尤其是老年患者,应考虑齿突冠综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08d/7046027/6fac721dcc0d/MJR-28-2-101-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08d/7046027/489b6ed6e4c1/MJR-28-2-101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08d/7046027/2afe528114c0/MJR-28-2-101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08d/7046027/aed031f86137/MJR-28-2-101-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08d/7046027/6d8e3414962b/MJR-28-2-101-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08d/7046027/6fac721dcc0d/MJR-28-2-101-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08d/7046027/489b6ed6e4c1/MJR-28-2-101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08d/7046027/2afe528114c0/MJR-28-2-101-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08d/7046027/aed031f86137/MJR-28-2-101-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08d/7046027/6d8e3414962b/MJR-28-2-101-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e08d/7046027/6fac721dcc0d/MJR-28-2-101-g005.jpg

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本文引用的文献

1
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Acute Med Surg. 2015 Aug 12;3(2):155-158. doi: 10.1002/ams2.147. eCollection 2016 Apr.
2
Crowned Dens Syndrome as an Initial Manifestation of Crystalline Deposition Disease.颅骨终板综合征作为结晶沉积病的首发表现
Intern Med. 2015;54(18):2405-8. doi: 10.2169/internalmedicine.54.4571. Epub 2015 Sep 15.
3
A rare case of crowned dens syndrome mimicking aseptic meningitis.1例罕见的酷似无菌性脑膜炎的颅底凹陷综合征病例。
Case Rep Neurol. 2013 Jan;5(1):40-6. doi: 10.1159/000348745. Epub 2013 Mar 8.
4
Crowned dens syndrome: a rare cause of acute neck pain.冠突窝综合征:一种导致急性颈痛的罕见病因。
Clin Rheumatol. 2013 May;32(5):711-4. doi: 10.1007/s10067-013-2179-5. Epub 2013 Feb 8.
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CPPD crowned dens syndrome with clivus destruction: a case report.伴有斜坡破坏的焦磷酸钙沉积症致齿状突综合征:一例报告
J Radiol Case Rep. 2011;5(8):30-7. doi: 10.3941/jrcr.v5i8.802. Epub 2011 Aug 1.
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CPPD crystal deposition disease of the cervical spine: a common cause of acute neck pain encountered in the neurology department.颈椎 CPPD 晶体沉积病:神经内科常见的急性颈痛病因。
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Calcification of the transverse ligament of the atlas in chondrocalcinosis.寰椎横韧带在软骨钙质沉着症中的钙化。
J Clin Rheumatol. 2010 Jan;16(1):7-9. doi: 10.1097/RHU.0b013e3181c9484f.
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Acute pseudogout of the neck--the crowned dens syndrome: 2 case reports and review of the literature.颈部急性假痛风——寰枢椎融合综合征:2 例报告并文献复习。
Rheumatol Int. 2011 Jan;31(1):85-8. doi: 10.1007/s00296-009-1145-7. Epub 2009 Oct 16.
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Painful neck on rotation: diagnostic significance for crowned dens syndrome.转头时颈部疼痛:齿突尖综合征的诊断意义。
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The crowned dens syndrome as a cause of neck pain: clinical and computed tomography study in patients with calcium pyrophosphate dihydrate deposition disease.以焦磷酸钙二水合物沉积病患者为研究对象的临床及计算机断层扫描研究:颈椎痛的一种病因——齿突冠状突综合征
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