[Crowned dens syndrome: three new cases]. / Syndrome de la dent couronnée : à propos de trois nouveaux cas.
Rev Med Interne
; 24(1): 49-54, 2003 Jan.
Article
en Fr
| MEDLINE
| ID: mdl-12614858
INTRODUCTION: Crowned dens syndrome is due to a microcrystalline infringement (hydroxyapatite or calcium pyrophosphate) of the retro-odontoidal ligament of atlas, often leading to the erroneous diagnosis of meningitis or spondylitis. We report on three new cases diagnosed from 1996 to 1999. EXEGESIS: The patients complained of cervicalgies, headaches or fever. The initially evoked diagnoses were meningitis, spondylodiscitis or endocarditis. Clinical exam found meningism and an inflammatory syndrome in all patients. Analysis of the cerebro-spinal fluid realised in two cases was normal. The diagnosis of crowned dens syndrome was assessed in two cases by cervical CT scan of C1/C2. In the third case, chondrocalcinosis of a wrist allowed this diagnosis. We report a probably non fortuitous case of crowned dens syndrome associated with genetic hemochromatosis. A non steroidal anti-inflammatory treatment allowed a dramatic regression of clinical symptoms. CONCLUSION: This entity should be better known; it can mimick numerous diagnosis and be responsible for fever in the long course.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Atlas Cervical
/
Condrocalcinosis
Tipo de estudio:
Diagnostic_studies
Límite:
Aged
/
Aged80
/
Humans
/
Male
Idioma:
Fr
Revista:
Rev Med Interne
Año:
2003
Tipo del documento:
Article
País de afiliación:
Francia
Pais de publicación:
Francia