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Crowned dens syndrome as a rare cause of anterior neck pain after transurethral resection of the prostate: a case report
- Source :
- Journal of Yeungnam Medical Science, Vol 40, Iss 3, Pp 289-292 (2023)
- Publication Year :
- 2023
- Publisher :
- Yeungnam University College of Medicine, Yeungnam University Institute Medical Science, 2023.
-
Abstract
- We describe the case of a 79-year-old man who presented with progressive aggravation of severe axial neck pain and fever 3 days after transurethral resection of the prostate (TURP), despite maintaining neutral neck posture during surgery. Laboratory examination revealed markedly elevated C-reactive protein levels and erythrocyte sedimentation rates. Computed tomography revealed crown-like calcifications surrounding the odontoid process. We diagnosed crowned dens syndrome (CDS) as the cause of acute-onset neck pain after TURP. The patient was treated with nonsteroidal anti-inflammatory drugs for 5 days, and his symptoms resolved completely. CDS is a rare disease characterized by calcific deposits around the odontoid process with acute onset of severe neck pain and restricted motion. Evidence of inflammation on serological testing and fever are typical of CDS. However, the prevalence and pathophysiology of CDS remain unclear. We hypothesized that systemic inflammation after prostate surgery may have induced a local inflammatory response involving calcification around the odontoid process.
- Subjects :
- inflammation
neck pain
odontoid process
transurethral resection of prostate
Medicine
Subjects
Details
- Language :
- English
- ISSN :
- 27998010
- Volume :
- 40
- Issue :
- 3
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Yeungnam Medical Science
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.955fde32e83142fc8b9a4357bcda86c7
- Document Type :
- article
- Full Text :
- https://doi.org/10.12701/jyms.2022.00388