Younis Ali Abdul-Rahman
Rheumatology Department, Faruk Medical City, Sulaymaniah, Iraq.
Mediterr J Rheumatol. 2017 Jun 27;28(2):101-105. doi: 10.31138/mjr.28.2.101. eCollection 2017 Jun.
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.
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。