Presentation
Two weeks of pain and neck stiffness with low grade fever and increased inflammatory markers
Patient Data
Age: 70 years
Gender: Female
From the case:
Crowned dens
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There are granular calcifications arranged in a "crown" like fashion aroudn the dens and in the transverse ligament. The neural tube is normal.
There is severe facet arthrosis on the left.
From the case:
Crowned dens
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There are granular calcifications arranged in a "crown" like fashion around the dens and in the transverse ligament.
Case Discussion
Acute onset of cervical pain associated with elevation of inflammatory indicators and/or signs of cervical myelopathy should suggest a CT scan searching for microcrystal deposition in the periodontoid tissue, known as crowned dens syndrome.
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