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Revista de la Facultad de Medicina (México)

versión On-line ISSN 2448-4865versión impresa ISSN 0026-1742


GONZALEZ ROJAS, Pedro Pablo; PEREZ RESTREPO, Jonathan  y  MANTILLA HERNANDEZ, Juan Felipe. Crowned Dens Syndrome, an Unusual Manifestation of Cervical Pain. A Case Report. Rev. Fac. Med. (Méx.) [online]. 2020, vol.63, n.3, pp.23-25.  Epub 05-Mar-2021. ISSN 2448-4865.

The calcium pyrophosphate dehydrate (CPPD) or hydroxyapatite (HA) crystal deposition disease can appear in any joint and the accumulation fo crystals in the cervical spine may be painful. Crowned dens syndrome is a rare clinical condition that involves crown-like calcification of the ligaments around the odontoid process. A 70-year-old man presented cervical pain, fever and a headache for over a week, therefore, a neurological condition was suspected. A CT scan revealed lentiform calcifications of the transverse ligament of the atlas. Steroid treatment and a non-steroidal anti-inflammatory diminished the symptoms. A proper clinical history and imaging studies avoid unnecessary procedures and makes it possible to include this entity as a differential diagnosis in acute cervical pain.

Palabras llave : Crystal deposition disease; acute cervical pain; crowned dens syndrome; Odontoid process.

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