Skip to main content
Log in

Recovery After Cervical Decompression Surgery for the Treatment of Crowned Dens Syndrome Causing Progressive Neurological Decline: A Case Report

  • Case Report
  • Published:
HSS Journal ®

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

References

  1. American Spinal Injury Association, Atlanta, GA. ASIA Exam Sheet for International Standards for Neurological Classification of Spinal Cord Injury. Available at: http://www.asia-spinalinjury.org/elearning/ISNCSCI_Exam_Sheet_r4.pdf. Accessed January 16, 2013.

  2. Ali S, Hoch M, Dadhania V, Khurana JS. CPPD crowned dens syndrome with clivus destruction: a case report. J Radiol Case Rep. 2011; 5: 30-37.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Baysal T, Baysal O, Kutlu R, Karaman I, Mizrak B. The crowned dens syndrome: a rare form of calcium pyrophosphate deposition disease. Eur Radiol. 2000; 10: 1003-1005.

    Article  CAS  PubMed  Google Scholar 

  4. Boden SD, Dodge LD, Bohlman HH, Rechtine GR. Rheumatoid arthritis of the cervical spine. A long-term analysis with predictors of paralysis and recovery. J Bone Joint Surg Am. 1993; 75: 1282-1297.

    CAS  PubMed  Google Scholar 

  5. Chang EY, Lim WY, Wolfson T, et al. Frequency of atlantoaxial calcium pyrophosphate dihydrate deposition at CT. Radiology. 2013.

  6. Chen L, Yang H, Yang T, Xu Y, Bao Z, Tang T. Effectiveness of surgical treatment for traumatic central cord syndrome. J Neurosurg Spine. 2009; 10(1): 3-8.

    Article  PubMed  Google Scholar 

  7. Goto S, Umehara J, Aizawa T, Kokubun S. Crowned Dens syndrome. J Bone Joint Surg Am. 2007; 89: 2732-2736.

    Article  PubMed  Google Scholar 

  8. Ishida Y, Tominaga T. Predictors of neurologic recovery in acute central cervical cord injury with only upper extremity impairment. Spine (Phila Pa 1976). 2002; 27: 1652-8. discussion 1658.

    Article  Google Scholar 

  9. Ito K, Aoyama T, Hara Y, Horiuchi T, Hongo K. Acute neck pain caused by calcium pyrophosphate dehydrate deposition in the transverse ligament of the atlas: a case report. No Shinkei Geka. 2011; 39: 769-772.

    PubMed  Google Scholar 

  10. Li XF, Dai LY. Acute central cord syndrome: injury mechanisms and stress features. Spine (Phila Pa 1976). 2010; 35: E955-64.

    Article  Google Scholar 

  11. Lin SH, Hsieh ET, Wu TY, Chang CW. Cervical myelopathy induced by pseudo-gout in ligamentum flavum and retro-odontoid mass: a case report. Spinal Cord. 2006; 44: 692-694.

    Article  PubMed  Google Scholar 

  12. Magarelli N, Simone F, Amelia R, et al. MR imaging of atlantoaxial joint in early rheumatoid arthritis. Radiol Med. 2010; 115: 1111-1120.

    Article  CAS  PubMed  Google Scholar 

  13. Nowak DD, Lee JK, Gelb DE, Poelstra KA, Ludwig SC. Central cord syndrome. J Am Acad Orthop Surg. 2009; 17: 756-765.

    PubMed  Google Scholar 

  14. Pfeiffer Zehnder C. Acute neck pain in an elderly patient. Praxis (Bern 1994). 2010; 99: 1295-1299.

    Article  CAS  Google Scholar 

  15. Salaffi F, Carotti M, Guglielmi G, Passarini G, Grassi W. The crowned dens syndrome as a cause of neck pain: clinical and computed tomography study in patients with calcium pyrophosphate dihydrate deposition disease. Clin Exp Rheumatol. 2008; 26: 1040-1046.

    CAS  PubMed  Google Scholar 

  16. Schneider RC, Cherry G, Pantek H. The syndrome of acute central cervical spinal cord injury; with special reference to the mechanisms involved in hyperextension injuries of cervical spine. J Neurosurg. 1954; 11: 546-577.

    Article  CAS  PubMed  Google Scholar 

  17. Wasserman BR, Moskovich R, Razi AE. Rheumatoid arthritis of the cervical spine—clinical considerations. Bull NYU Hosp Jt Dis. 2011; 69: 136-148.

    PubMed  Google Scholar 

  18. Werner BC, Shen FH, Shimer AL (2013) Primary cervical amyloidoma: A case report and review of the literature. Spine J.

  19. Yonezawa I, Okuda T, Won JH, Sakoda J, Nakahara D, Nojiri H, Muto O, Momomura R, Kaneko K (2012) Retrodental Mass in Rheumatoid Arthritis. J Spinal Disord Tech

  20. Younes M, Belghali S, Kriaa S, et al. Compared imaging of the rheumatoid cervical spine: prevalence study and associated factors. Joint Bone Spine. 2009; 76: 361-368.

    Article  PubMed  Google Scholar 

Download references

Disclosures

Conflict of Interest:

Alexander Aichmair, MD, Richard J. Herzog, MD, Giorgio Perino, MD, and Darren R. Lebl, MD have declared that they have no conflict of interest.

Human/Animal Rights:

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5).

Informed Consent:

Informed consent was waived from all patients for being included in the study.

Required Author Forms

Disclosure forms provided by the authors are available with the online version of this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alexander Aichmair MD.

Electronic supplementary material

Below is the link to the electronic supplementary material.

ESM 1

(PDF 1224 kb)

ESM 2

(PDF 1224 kb)

ESM 3

(PDF 1224 kb)

ESM 4

(PDF 1224 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Aichmair, A., Herzog, R.J., Perino, G. et al. Recovery After Cervical Decompression Surgery for the Treatment of Crowned Dens Syndrome Causing Progressive Neurological Decline: A Case Report. HSS Jrnl 10, 83–87 (2014). https://doi.org/10.1007/s11420-013-9364-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11420-013-9364-6

Keywords

Navigation