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适合女王的诊断：加冕齿状突综合征。

A Diagnosis Fit for a Queen: Crowned Dens Syndrome.

作者信息

Dankert Eggum Erin N, Hevesi Sara A, Sandefur Benjamin J

机构信息

Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota.

出版信息

Clin Pract Cases Emerg Med. 2024 Nov;8(4):381-383. doi: 10.5811/cpcem.19473.

DOI:10.5811/cpcem.19473
PMID:39704581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11661248/
Abstract

CASE PRESENTATION

We describe a case of an elderly female patient with a history of pseudogout who presented to the emergency department with atraumatic neck pain, fever, and malaise, who was found to have crowned dens syndrome on computed tomography imaging.

DISCUSSION

It is important that emergency physicians consider crowned dens syndrome in elderly patients presenting with neck pain and signs of inflammation to ensure timely diagnosis, treatment, and to minimize unnecessary invasive testing.

摘要

病例报告

我们描述了一例患有假性痛风病史的老年女性患者，她因非创伤性颈部疼痛、发热和不适就诊于急诊科，在计算机断层扫描成像中被发现患有齿突冠状突综合征。

讨论

对于出现颈部疼痛和炎症体征的老年患者，急诊医生考虑齿突冠状突综合征很重要，以确保及时诊断、治疗并尽量减少不必要的侵入性检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c204/11661248/7e68603fa73a/cpcem-8-381-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c204/11661248/89f9fad3d53a/cpcem-8-381-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c204/11661248/7e68603fa73a/cpcem-8-381-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c204/11661248/89f9fad3d53a/cpcem-8-381-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c204/11661248/7e68603fa73a/cpcem-8-381-g002.jpg

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A Diagnosis Fit for a Queen: Crowned Dens Syndrome.适合女王的诊断：加冕齿状突综合征。
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引用本文的文献

1
Clinical features and diagnostic challenges in crowned dens syndrome: a systematic review and meta-analysis.冠突综合征的临床特征与诊断挑战：一项系统评价和荟萃分析
Rheumatol Int. 2025 Apr 25;45(5):124. doi: 10.1007/s00296-025-05884-6.

本文引用的文献

1
Crowned Dens Syndrome: A Case Report and Literature Review.颈椎椎体终板炎综合征：一例报告及文献综述。
Front Med (Lausanne). 2022 Jan 24;8:528663. doi: 10.3389/fmed.2021.528663. eCollection 2021.
2
Crowned Dens Syndrome: Report of Three Cases and a Review of the Literature.颅底凹陷综合征：三例报告及文献复习
J Emerg Med. 2015 Jul;49(1):e9-e13. doi: 10.1016/j.jemermed.2015.02.005. Epub 2015 Apr 21.
3
The crowned dens syndrome. Evaluation with CT imaging.颅底凹陷性齿突综合征。CT成像评估。
Radiol Med. 2007 Mar;112(2):195-207. doi: 10.1007/s11547-007-0135-7. Epub 2007 Mar 19.
4
Acute neck pain due to calcifications surrounding the odontoid process: the crowned dens syndrome.齿突周围钙化所致急性颈部疼痛：“冕状齿突综合征”
Arthritis Rheum. 1985 Dec;28(12):1417-20. doi: 10.1002/art.1780281215.
5
Clinical features of pseudogout attack. A survey of 50 cases.假性痛风发作的临床特征。50例病例的调查。
Clin Orthop Relat Res. 1988 Apr(229):173-81.