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KMID : 1148120160060020061
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Journal of Advanced Spine Surgery
2016 Volume.6 No. 2 p.61 ~ p.63
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Crowned Dens Syndrome in the Cervical Spine - Case Report -
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Shin Hun-Kyu
Jeong Hwa-Jae
Kim Eu-Gene
Park Jai-Hyung
Park Se-Jin
Lee Seok-Won
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Abstract
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Thirty-four-year old female patient visited our clinic for posterior neck pain for 3 days. She had no medical history or traumatic injury. On physical examination, posterior neck pain aggravating with neck motion was seen, there was no neurologic symptom. WBC, ESR and CRP were slightly increased. There was no specific finding on simple cervical radiologic study but, on cervical CT, calcified lesion was seen on the right lateral side of dens. The symptom got better after medication with NSAIDs, oral and intra venous steroid drugs for 2 days, disappeared after 4 days with NSAIDs and intra venous steroid drug. In following lab study, inflammatory marker decreased. Crowned Dens Syndrome could be misdiagnosed with meningitis, so cervical CT study is essential for differential diagnosis. Symptoms can be treated with NSAIDs and steroid drug.
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KEYWORD
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Crowned dens syndrome, Cervical pain, CT, Differential Diagnosis
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