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Crowned dens syndrome as a rare cause of anterior neck pain after transurethral resection of the prostate: a case report

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Author(s)
Myeong Geun JeongBum Soon ParkEun-Seok SonJang Hyuk Cho
Keimyung Author(s)
Son, Eun SeokCho, Jang Hyuk
Department
Dept. of Orthopedic Surgery (정형외과학)
Dept. of Rehabilitation Medicine (재활의학)
Journal Title
J Yeungnam Med Sci
Issued Date
2023
Volume
40
Issue
3
Keyword
InflammationNeck painOdontoid processTransurethral resection of prostate
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.
Keimyung Author(s)(Kor)
손은석
조장혁
Publisher
School of Medicine (의과대학)
Type
Article
ISSN
2799-8010
Source
https://www.e-jyms.org/journal/view.php?doi=10.12701/jyms.2022.00388
DOI
10.12701/jyms.2022.00388
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/45048
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
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