Home    中文  
 
  • Search
  • lucene Search
  • Citation
  • Fig/Tab
  • Adv Search
Just Accepted  |  Current Issue  |  Archive  |  Featured Articles  |  Most Read  |  Most Download  |  Most Cited

Chinese Journal of Diagnostics(Electronic Edition) ›› 2020, Vol. 08 ›› Issue (04): 281-284. doi: 10.3877/cma.j.issn.2095-655X.2020.04.013

Special Issue:

• Clinical Study • Previous Articles     Next Articles

Diagnostic features of crowned dens syndrome and literature review

Xiaodong Han1, Xianqing Meng1, Chunyang Meng2,()   

  1. 1. Department of Spine Surgery, Zoucheng Branch of Affiliated Hospital of Jining Medical University, Jining 273500, China
    2. Department of Spine Surgery, Affiliated Hospital of Jining Medical University, Jining 272029, China
  • Received:2020-06-30 Online:2020-11-26 Published:2020-11-26
  • Contact: Chunyang Meng
  • About author:
    Corresponding author: Meng Chunyang, Email:

Abstract:

Objective

To explore the clinical diagnostic features of crowned dens syndrome (CDS).

Methods

From December 2019 to April 2020, the clinical and imaging data of two patients with CDS who were admitted to Spinal Surgery Department of Zoucheng Branch of Affiliated Hospital of Jining Medical University were retrospectively analyzed. The diagnostic features of CDS were summarized, and literatures were reviewed.

Results

Both patients presented to the hospital due to acute neck pain and restricted neck mobility, and had a history of diabetes and none of them had a fever. The C-reactive protein (CRP) levels of both 2 patients inereased, and the erythrocyte sedimentation rate (ESR) level of one patient increased. CT examination of the cervical spine both showed degeneration changes of cervical spine, and bone density lesions in above the odontoid process. The CDS diagnosis was established excluding meningitis and gout.

Conclusion

Elevated levels of CRP and (or) ESR, cervical calcification around the odontoid process on CT scan are important laboratory and imaging features for the diagnosis of CDS.

Key words: Crowned dens syndrome, Neck pain, Tomography, X-ray computed, Diagnosis

京ICP 备07035254号-20
Copyright © Chinese Journal of Diagnostics(Electronic Edition), All Rights Reserved.
Tel: 0537-3616261 E-mail: zhzdxzz@126.com
Powered by Beijing Magtech Co. Ltd