![]() ![]() Cardiopulmonary abdominal examination showed no apparent abnormalities. She was admitted to hospital for physical examination and had a body temperature of 36.5☌, a pulse of 80 beats/min, a respiratory rate of 20 breaths/min and blood pressure of 120/77 mm/hg. The patient claimed to have no history of smoking, drinking, or any genetic diseases. Postoperatively, the patient was prescribed aspirin (0.1 g qd) and clopidogrel (75 mg qd) to prevent platelet aggregation which was stopped after 1 year. Four years earlier, the patient was diagnosed with coronary atherosclerotic heart disease and subsequently received a stent. The patient had a 20-year history of type 2 diabetes (T 2DM) and was using biosynthetic human insulin injections to control her blood glucose levels, however, the levels were not regularly monitored. ![]() The patient sought diagnosis and treatment and was admitted to our hospital and clinic diagnosed with head and neck pain. The patient began to experience persistent pain in the scalp on both sides of the temporal roof. The patient thought that the condition was due to cervical spondylosis and received “massage and topical plaster” treatment in the clinic but the symptoms did not improve significantly. The patient did not report difficulties when speaking, numbness, chills, fever, abnormal bowel movements, breathing difficulties or reduced vision. ![]() The pain increased significantly when the patient turned her head and was accompanied by neck stiffness. The pain was persistent and severe but tolerable. In this study, we report a case of CDS that can help to improve clinical understanding of the condition.Ī 73 year-old female presented with head and neck pain that occurred during sitting (at ~9:00 on January 3rd, 2019). In imaging, the deposited crystals produce a crown or halo-like feature around the odontoid process ( 3). Acute neck pain may be associated with the deposition of hydroxyapatite or calcium dicalcium pyrophosphate crystals in the ligaments around the odontoid. Imaging indicates that high-density, irregular calcium deposits of varying dimensions are formed around the odontoid process but mostly on the posterior surface of the odontoid process ( 2). The typical clinical manifestations of CDS include acute neck pain accompanied by stiffness and limited mobility, fever and increased erythrocyte sedimentation rate (ESR) and/or C-reactive protein (CRP) levels. Crowned dens syndrome (CDS) refers to the findings of a crown-like odontoid in radiographic images ( 1). ![]()
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