Crowned dens - CPPD

Case contributed by Andrew Dixon
Diagnosis almost certain

Presentation

Fall.

Patient Data

Age: 90 years
Gender: Female
ct

Calcification within the alar ligaments and the transverse band of the cruciform ligament. This appearance is often termed "crowned dens" and is characteristic of calcium pyrophosphate deposition disease (CPPD). 

Case Discussion

An example of "crowned dens" due to CPPD. 

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