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Review
. 1995;135(3-4):126-30.
doi: 10.1007/BF02187755.

Crowned dens syndrome: a manifestation of hydroxy-apatite rheumatism

S A Malca  1 , P H Roche, W Pellet, A Combalbert
Affiliations
Review

Crowned dens syndrome: a manifestation of hydroxy-apatite rheumatism

S A Malca et al. Acta Neurochir (Wien). 1995.

Abstract

Crowned dens syndrome is defined as an association of acute cervical pain and calcifications in the peri-odontoid space. The authors report one case of this rare localization of hydroxy-apatite rheumatism and review 12 similar cases in the literature. This disease affects only adult females. Patients present with inflammatory signs, can be treated with non-steroid anti-inflammatory drugs and recover without sequela. Calcium pyrophosphate dihydrate deposition can also lead to this syndrome. Other perioodontoid calcifications and ossifications, usually asymptomatic, appear only as a radiologically crowned dens.

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