Summary
Twenty-seven patients with definite or probable CPPD have been investigated with systematic frontal and lateral tomograms of the cervicooccipital region. In 12 cases there were calcifications of the syndesmo-odontoid region. These calcifications are of two different types: linear calcifications (5 cases) and mottled calcifications (7 cases). The anatomic location of these calcifications is the transverse ligament or other structures of the syndesmo-odontoid joint. Although this type of calcification has already been described in other rheumatic diseases, it must lead to search for CPPD in the usual locations.
Similar content being viewed by others
References
Dietemann JL, Metzger JM, Bonneville JF, Wackenheim A (1979) Ossification du ligament transverse de l'atlas. Trois nouvelles observations. J Radiol 60: 209–210
Dirheimer Y (1977) The craniovertebral region in chronic inflammatory rheumatic diseases. Springer, Berlin Heidelberg New York
Dirheimer Y, Grosshans E, Haller M, Ramsheyi A, Ramsheyi M, Reolon M (1978) Hyperostose de la charnière cervico-occipitale au cours du psoriasis et de la polyarthrite psoriasique. Rhumatologie 30: 57–60
McCarty DJ Jr (1972) Pseudogout: articular chondrocalcinosis. Calcium pyrophosphate crystal deposition disease. In: Hollander JL, McCarty DC Jr (eds) Arthritis and allied conditions, 8th ed. Lea and Febiger, Philadelphia, pp 1140–1160
McCarty DJ, Haskin ME (1963) The roentgenographic aspects of pseudogout (articular chondrocalcinosis). An analysis of 20 cases. AJR 90: 1248–1257
Resnick D, Niwayama G, Goergen TG, Ufsinger PD, Shapiro RF, Haselwood DH, Wiesner KB (1977) Clinical, radiographic and pathologic abnormalities in calcium pyrophosphate dihydrate deposition disease (CPPD): pseudogout. Radiology 122: 1–15
Sick H (1964) L'adaptation des tendons à la réflexion. Arch Anat Histol Embryol 47: 370–446
Wackenheim A (1978) Ossification du ligament transverse. Deux observations. J Radiol 59: 413–414
Zitnan D, Sitaj S (1976) Natural course of articular chondrocalcinosis. Arthritis Rheum 19: 363–390
Ziza JM, Bouvet JP, Auguier L (1983) Cervicalgie aiguë sousoccipitale d'origine calcique. Rev Rhum (in press)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Dirheimer, Y., Bensimon, C., Christmann, D. et al. Syndesmo-odontoid joint and calcium pyrophosphate dihydrate deposition disease (CPPD). Neuroradiology 25, 319–321 (1983). https://doi.org/10.1007/BF00439211
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00439211