scholarly journals Crowned Dens Syndrome Masquerading as Meningitis

Cureus ◽  
2021 ◽  
Author(s):  
Abayomi O Bamgboje ◽  
Nirupa Mohandas
2021 ◽  
pp. 22-27
Author(s):  
Takeshi Okamoto ◽  
Takashi Ikeya ◽  
Katsuyuki Fukuda

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.


2012 ◽  
Vol 51 (2) ◽  
pp. 231-231 ◽  
Author(s):  
Yuzo Oda ◽  
Shinji Ooi ◽  
Yoshinori Urushidani ◽  
Akira Endo

2020 ◽  
Vol 42 (11) ◽  
pp. 930-935
Author(s):  
Pei-Lin Lu ◽  
Zhong-Feng Niu ◽  
Chang-Wen Qiu ◽  
Xing-Yue Hu

Author(s):  
Jianfei Ma ◽  
Rania Gonem ◽  
Elliott Lever ◽  
Richard Stratton ◽  
Animesh Singh

2019 ◽  
Vol 26 (8) ◽  
pp. e312-e313
Author(s):  
Edoardo Conticini ◽  
Vito Di Martino ◽  
Renato De Stefano ◽  
Bruno Frediani ◽  
Luca Volterrani ◽  
...  

PM&R ◽  
2018 ◽  
Vol 10 ◽  
pp. S114-S114
Author(s):  
Thomas Chai ◽  
Katherine Zeledon Rivera ◽  
Alejandro J. Villafranca ◽  
Larry C. Driver

Sign in / Sign up

Export Citation Format

Share Document