alexa A Case of Crowned Dens Syndrome with Huge Calcifications | Open Access Journals
ISSN: 2167-7921
Journal of Arthritis
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

A Case of Crowned Dens Syndrome with Huge Calcifications

Masao Sato*

Department of Rheumatology, Matsunami General Hospital, Hashima Gifu, Japan

Corresponding Author:
Masao sato
Department of Rheumatology, Matsunami General Hospital
185-1 Dendai Kasamatsu Hashima Gifu 501-6062, Japan
Tel: +81 583880111
Fax: +81 583882391
E-mail: [email protected]

Received Date: January 25, 2017; Accepted Date: February 08, 2017; Published Date: February 13, 2017

Citation: Sato M (2017) A Case of Crowned Dens Syndrome with Huge Calcifications. J Arthritis 6:i103. doi:10.4172/2167-7921.1000i103

Copyright: © 2017 Sato M. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Journal of Arthritis

Abstract

An 81-year-old woman presented to our hospital with a 1-month history of headache and neck pain. She had no neurological symptoms, articulation disorder, or swallowing disorder. The plain radiograph showed calcification deposits around the atlantoaxial joint and anterior vertebral body (Figure 1). The computed tomography scan of her neck showed details of these calcifications (Figures 2-4). Huge crownshaped deposits of hydroxyapatite or calcium pyrophosphate dihydrate were seen. The C-reactive protein level was slightly increased to 0.78 mg/dL. Oral non-steroidal anti-inflammatory drug (NSAID) therapy resulted in complete improvement of her symptoms.

Case Report

An 81-year-old woman presented to our hospital with a 1-month history of headache and neck pain. She had no neurological symptoms, articulation disorder, or swallowing disorder. The plain radiograph showed calcification deposits around the atlantoaxial joint and anterior vertebral body (Figure 1). The computed tomography scan of her neck showed details of these calcifications (Figures 2-4). Huge crownshaped deposits of hydroxyapatite or calcium pyrophosphate dihydrate were seen. The C-reactive protein level was slightly increased to 0.78 mg/dL. Oral non-steroidal anti-inflammatory drug (NSAID) therapy resulted in complete improvement of her symptoms.

arthritis-Plain-radiograph

Figure 1: Plain radiograph showed calcification deposits around the atlantoaxial joint and anterior vertebral body.

arthritis-tomography-scan

Figure 2: Computed tomography scan of her neck showed details of these calcifications.

arthritis-Atlantoaxial-joint

Figure 3: Atlantoaxial joint and anterior vertebral body.

arthritis-Computed-tomography

Figure 4: Computed tomography scan of her neck showed details of these calcifications.

The crowned dens syndrome (CDS) was aptly named because it appears radiologically as crown-shaped or halo-shaped distributions when deposits surround the odontoid process [1,2]. Glucocorticoids and NSAIDs are commonly efficacious for treating CDS. A proper diagnosis is important and physicians should be aware of CDS to prevent unnecessary diagnostic procedures and treatment.

Conflict of Interest

The author declares no conflicts of interest concerning this article.

References

Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Article Usage

  • Total views: 574
  • [From(publication date):
    February-2017 - Oct 17, 2017]
  • Breakdown by view type
  • HTML page views : 533
  • PDF downloads :41
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords