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

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Crowned dens syndrome.

acute fever, occipital pain and neck stiffness. His medical history included pseudogout of the right knee, which was confirmed by the presence of chondrocalcinosis on a radiograph and calcium pyrophosphate dihydrate crystals in fluid obtained by arthrocentesis. His mentation was normal, and he had limited cervical motion in all directions. His erythrocyte sedimentation rate was 100 mm/h, and hi...

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

BACKGROUND Pain is regarded as one of the most common nonmotor symptoms in Parkinson's disease (PD). In particular, musculoskeletal pain has been reported as the most common type of PD-associated pain. Crowned dens syndrome (CDS), related to microcrystalline deposition in the periodontoid process, is the main cause of acute or chronic cervical pain. CASE PRESENTATION This report describes the...

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Crowned dens syndrome mimicking meningitis.

A 78-year-old woman presenting with fever and occipital headache was referred to our service with suspicion of meningitis. Neurological examination was normal except for cervical stiffness. CRP level was increased to 18.7 mg/dl. Cerebrospinal fluid examination was normal. Cervical CT image at C1/C2 level showed right dominant semicircular calcifications posterolateral to the odontoid process (d...

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A Rare Case of Crowned Dens Syndrome Mimicking Aseptic Meningitis

BACKGROUND Crowned dens syndrome (CDS), related to microcrystalline deposition in the periodontoid process, is the main cause of acute or chronic cervical pain. Microcrystal-line deposition most often consists of calcium pyrophosphate dehydrate crystals and/or hydroxyapatite crystals. CASE PRESENTATION This report describes the case of an 89-year-old woman who presented with sudden onset, hig...

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CPPD crowned dens syndrome with clivus destruction: a case report.

We report a case of CPPD crowned dens syndrome in an 87 year white old male with a known history of pseudogout, with clinical and radiological features characteristic of this syndrome. Interestingly, there was significant mass effect on the clivus, with clivus erosion and destruction, a finding that has not previously been described with this syndrome. The clinical and radiological characterist...

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ژورنال

عنوان ژورنال: BMJ Case Reports

سال: 2016

ISSN: 1757-790X

DOI: 10.1136/bcr-2016-217128