Igami Eriko, Fukae Jiro, Kanazawa Kazo, Fuse Atsuhito, Nakajima Asuka, Eguchi Hiroto, Hattori Nobutaka, Shimo Yasushi
Department of Neurology, Juntendo University Nerima Hospital, Tokyo, Japan.
Department of Research and Therapeutics for Movement Disorders, Juntendo University School of Medicine, Tokyo, Japan.
Front Neurol. 2022 Oct 21;13:946222. doi: 10.3389/fneur.2022.946222. eCollection 2022.
We report two rare cases. One involved acute calcific retropharyngeal tendinitis, an inflammatory condition of the longus colli tendon triggered by the deposition of calcium hydroxyapatite crystals. The other involved crowned dens syndrome, caused by pseudogout of the atlantoaxial junction following deposition of calcium pyrophosphate dehydrate or calcium hydroxyapatite. Although these two diseases involve different mechanisms, the common symptoms of neck pain and fever resemble those of meningitis. Accurate diagnosis can thus be difficult without background knowledge of these conditions. Cerebrospinal fluid examination and cervical computed tomography are useful for distinguishing these pathologies from meningitis.
我们报告了两例罕见病例。一例为急性钙化性咽后肌腱炎，是由羟基磷灰石晶体沉积引发的颈长肌肌腱炎症性疾病。另一例为齿突冠状征综合征，由焦磷酸钙或羟基磷灰石沉积后寰枢关节假性痛风引起。尽管这两种疾病机制不同，但颈部疼痛和发热的共同症状与脑膜炎相似。因此，如果没有这些疾病的背景知识，准确诊断可能会很困难。脑脊液检查和颈椎计算机断层扫描有助于将这些病变与脑膜炎区分开来。
