Crowned dens syndrome in an elderly man

Abstract

Article abstract-The authors describe a patient who developed chronic paroxysmal hemicrania (CPH) in close temporal relationship to a head injury. The subsequent attacks of CPH were associated with a typical migrainous sensory and motor aura. Administration of indomethacin 75 mg daily resulted in isolated occurrence of autonomic and aura symptoms in the absence of pain symptoms. The patient became completely asymptomatic on indomethacin 100 mg daily. Migrainous aura may be seen with trigeminal-autonomic headaches and may represent the expression of an aura-susceptibility gene rather than typical migraine headache biology.

Incidence, Age and Gender of Subjects With the Calcium Pyrophosphate Deposition Around the Dens, and Clinical Characteristics of Patients With Crowned Dens Syndrome

“…However, nine subjects with CDS in our study II included five females and four males, which did not agree with the previous two studies [10,24]. Further, according to case reports accumulated by our Pubmed search, 11 of 22 cases with CDS were women, challenging a female predominance in CDS [2,4,5,7,8,[10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. To confirm a female predominance in CDS, further studies, preferably with a greater number of CDS subjects, are needed.…”

“…According to our Pubmed search (reports written in English), the mean age in patients with CDS was 78.1 years old (11 males and 11 females), supporting a significant association between CDS and old age [2,4,5,7,8,[11][12][13][14][15][16][17][18][19][20][21][22][23].…”

Pseudogout Showing Meningoencephalitic Symptoms: Crowned Dens Syndrome

“…In general, the clinical course of crowned dens syndrome by CPPD deposition is less uniform than HA cases (5). The number of reported cases of male patients with crowned dens syndrome caused by CPPD is much less than that for females (3,5). However, this may be due to the fact that the total number is very small.…”

“…Severe neck pains and occipitalgia sometimes occur in patients with hydoxyapatite (HA) and calcium pyrophosphate dehydrate (CPPD) crystal deposition diseases (1,2). The crowned dens syndrome has been commonly termed as acute neck pain attributed to HA and/or CPPD depositions surrounding the odontoid process (3)(4)(5). We encountered a patient with severe occipitalgia, cervical rigidity and a high fever, all of which suggested meningitis.…”

The crowned dens syndrome as a cause of neck pain: Report of two new cases and review of the literature

“…CDS was described by Bouvet et al in 1985 as neck pain caused by deposition of hydroxyapatite or CPPD crystals in the cervical spine and appearing radiographically as radioopaque densities surrounding the top and sides of the odontoid process in a crown-or halo-like distribution (11). In addition to the 4 cases described by Bouvet and the 2 cases presented in this series, we identified 11 additional cases in the English literature via Medline and PubMed database searches and citations from relevant articles (11)(12)(13)(14)(15). All patients presented with neck pain though duration of symptoms ranged from acute to several years.…”