scholarly journals Jolt accentuation of neck pain: a novel physical finding for crowned dens syndrome

2016 ◽  
pp. bcr2016217128 ◽  
Author(s):  
Masaru Kurihara ◽  
Yasuharu Tokuda
Keyword(s):  
Neck Pain ◽  
Physical Finding ◽  
Crowned Dens Syndrome

scholarly journals Crowned Dens Syndrome Occurring after Endoscopic Submucosal Dissection for Early Gastric Cancer

2021 ◽  
pp. 22-27
Author(s):  
Takeshi Okamoto ◽  
Takashi Ikeya ◽  
Katsuyuki Fukuda
Keyword(s):  
Gastric Cancer ◽  
Neck Pain ◽  
Endoscopic Submucosal Dissection ◽  
Odontoid Process ◽  
Calcium Pyrophosphate ◽  
Endoscopic Procedures ◽  
Submucosal Dissection ◽  
Calcium Pyrophosphate Dehydrate ◽  
Crowned Dens Syndrome ◽  
Head Computed Tomography

Crowned dens syndrome (CDS) is a rare form of pseudogout which causes acute neck pain due to calcium pyrophosphate dehydrate deposition surrounding the odontoid process, commonly causing neck pain with rigidity. While invasive procedures such as surgery are known to present a risk of acute pseudogout, reports of occurrence after endoscopic procedures are scarce. We report the case of a 75-year-old man who presented with sudden neck pain after endoscopic submucosal dissection (ESD) for gastric cancer. He could nod but could not rotate his head. Computed tomography showed calcifications surrounding the odontoid process consistent with CDS. Prolonged dietary restrictions and proton pump inhibitor use following the ESD procedure may have caused hypomagnesemia, a precipitating factor for CDS. We prescribed colchicine 1 mg/day and symptoms resolved completely in 3 days. This is the first report of CDS after ESD. CDS should be included in the differential diagnosis of neck pain after endoscopic procedures.

Poster 344: Severe Axial Neck Pain and Stiffness due to Crowned Dens Syndrome in a Patient with Multiple Myeloma

PM&R ◽  
2018 ◽  
Vol 10 ◽  
pp. S114-S114
Author(s):  
Thomas Chai ◽  
Katherine Zeledon Rivera ◽  
Alejandro J. Villafranca ◽  
Larry C. Driver
Keyword(s):  
Multiple Myeloma ◽  
Neck Pain ◽  
Crowned Dens Syndrome ◽  
Axial Neck Pain

Chronic Axial Neck Pain with Underlying Crowned Dens Syndrome

2015 ◽  
Vol 94 (12) ◽  
pp. e128-e129
Author(s):  
Wilson J. Chang ◽  
Brian Hamm ◽  
Tiffany Williams ◽  
Raj Mitra
Keyword(s):  
Neck Pain ◽  
Crowned Dens Syndrome ◽  
Axial Neck Pain

scholarly journals Crowned dens syndrome

2012 ◽  
Author(s):  
Norma Belfiore ◽  
Vito Privitera ◽  
Giampaolo Carmosino ◽  
Giulio Doveri
Keyword(s):  
Neck Pain ◽  
Odontoid Process ◽  
Unknown Origin ◽  
The Elderly ◽  
Calcium Pyrophosphate ◽  
Acute Onset ◽  
Cervical Pain ◽  
Calcium Pyrophosphate Dehydrate ◽  
Crowned Dens Syndrome ◽  
Inflammatory Drugs

Introduction Microcrystalline deposition in peri-odontoid articular structures is mainly responsible for acute or chronic cervical pain and is known as “crowned dens syndrome”.Materials and methods We described two cases of acute cervical pain associated with onset of fever and peripheral acute monoarthritis. Cervical computed tomography (CT) scan showed linear calcification of the retrodens ligament and calcium pyrophosphate dehydrate (CPPD) crystals were found in synovial fluid of inflamed joints. Both patients were treated with anti-inflammatory drugs and colchicine.Discussion Calcium depositions around the odontoid process of the axis can be occasionally detected by radiological studies. They are frequently asymptomatic but sometimes can be associated with severe neurological abnormalities, fever and acute neck pain. CPPD crystals are usually deposited in joints and bursae but occasionally can disrupt these anatomical confines and deposit in periarticular tissues, sometimes forming large masses confused with tumours.Conclusions Acute onset of cervical neck pain associated with elevation of inflammatory indicators and/or signs of cervical myelopathy should suggest CT scans searching for microcrystal depositions in the peryodonthoid tissue. Differential diagnosis of fever of unknown origin (FUO) should include crowned dens syndrome specially in the elderly after exclusion of several endocrine or metabolic disorders, infection diseases (meningitis), arthritis (psoriatic arthritis and ankylosing spondylitis) and tumours (chordoma, meningioma, osteoblastoma).

scholarly journals A rare cause of neck pain – Crowned dens syndrome

2020 ◽  
Vol 3 (3) ◽  
Author(s):  
Pankaj Bansal ◽  
Trevor Rich ◽  
Dhiraj Gulati
Keyword(s):  
Neck Pain ◽  
Crowned Dens Syndrome

scholarly journals A Rare Case of Parkinson's Disease with Severe Neck Pain Owing to Crowned Dens Syndrome

2014 ◽  
Vol 6 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Teruyuki Takahashi ◽  
Masato Tamura ◽  
Keiichi Osabe ◽  
Takashi Tamiya ◽  
Kenji Miki ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Neck Pain ◽  
Rare Case ◽  
Crowned Dens Syndrome

Crowned dens syndrome

2017 ◽  
Vol 18 (1) ◽  
pp. 57-59 ◽  
Author(s):  
David Ledingham ◽  
Cecilia Cappelen-Smith ◽  
Dennis Cordato
Keyword(s):  
Inflammatory Response ◽  
Neck Pain ◽  
Polymyalgia Rheumatica ◽  
Calcium Pyrophosphate ◽  
Occipital Neuralgia ◽  
Rare Presentation ◽  
Neck Stiffness ◽  
Calcium Pyrophosphate Deposition Disease ◽  
Crowned Dens Syndrome ◽  
Treatable Condition

Crowned dens syndrome is a rare presentation of calcium pyrophosphate deposition disease. It is characterised by severe occipital pain and neck stiffness. Acute presentations are typically accompanied by fever and an inflammatory response and hence can be misdiagnosed as polymyalgia rheumatica or meningitis. Chronic relapsing presentations may be misdiagnosed as cervicogenic neck pain or occipital neuralgia. We present a patient who presented with a chronic relapsing form of crowned dens syndrome and discuss the epidemiology, typical presentation and management of this eminently treatable condition.

Delayed diagnosis of an upper cervical epidural abscess masked due to crowned dens syndrome

2020 ◽  
Vol 13 (5) ◽  
pp. e235126
Author(s):  
Hiroshi Sugimoto ◽  
Takuji Hayashi ◽  
Shun Nakadomari ◽  
Keisuke Sugimoto
Keyword(s):  
Neck Pain ◽  
Epidural Abscess ◽  
Delayed Diagnosis ◽  
Atlantoaxial Joint ◽  
Stiff Neck ◽  
Contrast Enhanced Ct ◽  
Crowned Dens Syndrome ◽  
Old Japanese ◽  
Upper Cervical ◽  
History Of

An 87-year-old Japanese man presented to our hospital with a 5-day history of fever and neck pain. On physical examination, his stiff neck indicated restricted movement, especially on rotation. CT of the head revealed calcification of the atlantoaxial joint consistent with crowned dens syndrome, and celecoxib was started. Four days later, he returned to our emergency department as his neck pain and fever had not improved. Pneumonia and a urinary tract infection were suspected. The day following admission, blood culture results were positive for methicillin-resistant Staphylococcus aureus. A contrast-enhanced CT revealed an upper cervical epidural abscess at the level of C1–C2. He was discharged following 8 weeks of antibiotic treatment.

Sign in / Sign up

Export Citation Format

Share Document