Crowned Dens Syndrome Occurred in a Patient after Simple Drainage for Chronic Subdural Hematoma: A Case Report

Crowned dens syndrome (CDS) is a rare disease which presents with neck pain and rigidity. A 74-year-old man with right chronic subdural hematoma (CSDH) underwent hematoma drainage. After the operation, he complained of neck pain and laboratory test revealed elevation of C-reactive protein (CRP) and...

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Autores principales: Tamura, Ryota, Takahashi, Satoshi, Kamamoto, Dai, Horikoshi, Tomo, Yoshida, Kazunari
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japan Neurosurgical Society 201
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364901/
https://www.ncbi.nlm.nih.gov/pubmed/28664019
http://dx.doi.org/10.2176/nmccrj.cr.2016-0105
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author Tamura, Ryota
Takahashi, Satoshi
Kamamoto, Dai
Horikoshi, Tomo
Yoshida, Kazunari
author_facet Tamura, Ryota
Takahashi, Satoshi
Kamamoto, Dai
Horikoshi, Tomo
Yoshida, Kazunari
author_sort Tamura, Ryota
collection PubMed
description Crowned dens syndrome (CDS) is a rare disease which presents with neck pain and rigidity. A 74-year-old man with right chronic subdural hematoma (CSDH) underwent hematoma drainage. After the operation, he complained of neck pain and laboratory test revealed elevation of C-reactive protein (CRP) and white blood cell (WBC). Suspecting localized infection, wound irrigation was performed. Neck pain relieved after irrigation, but we could not find the source of infection. CDS was diagnosed by computed tomography (CT). CDS is frequently misdiagnosed as meningitis and localized infection. CT is useful for diagnosis. Neurosurgeons need to be aware of CDS after operation.
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spelling pubmed-53649012017-06-29 Crowned Dens Syndrome Occurred in a Patient after Simple Drainage for Chronic Subdural Hematoma: A Case Report Tamura, Ryota Takahashi, Satoshi Kamamoto, Dai Horikoshi, Tomo Yoshida, Kazunari NMC Case Rep J Case Report Crowned dens syndrome (CDS) is a rare disease which presents with neck pain and rigidity. A 74-year-old man with right chronic subdural hematoma (CSDH) underwent hematoma drainage. After the operation, he complained of neck pain and laboratory test revealed elevation of C-reactive protein (CRP) and white blood cell (WBC). Suspecting localized infection, wound irrigation was performed. Neck pain relieved after irrigation, but we could not find the source of infection. CDS was diagnosed by computed tomography (CT). CDS is frequently misdiagnosed as meningitis and localized infection. CT is useful for diagnosis. Neurosurgeons need to be aware of CDS after operation. The Japan Neurosurgical Society 2016 -11- 29 /pmc/articles/PMC5364901/ /pubmed/28664019 http://dx.doi.org/10.2176/nmccrj.cr.2016-0105 Text en Copyright © 2017 The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-nd/4.0/
spellingShingle Case Report
Tamura, Ryota
Takahashi, Satoshi
Kamamoto, Dai
Horikoshi, Tomo
Yoshida, Kazunari
Crowned Dens Syndrome Occurred in a Patient after Simple Drainage for Chronic Subdural Hematoma: A Case Report
title Crowned Dens Syndrome Occurred in a Patient after Simple Drainage for Chronic Subdural Hematoma: A Case Report
title_full Crowned Dens Syndrome Occurred in a Patient after Simple Drainage for Chronic Subdural Hematoma: A Case Report
title_fullStr Crowned Dens Syndrome Occurred in a Patient after Simple Drainage for Chronic Subdural Hematoma: A Case Report
title_full_unstemmed Crowned Dens Syndrome Occurred in a Patient after Simple Drainage for Chronic Subdural Hematoma: A Case Report
title_short Crowned Dens Syndrome Occurred in a Patient after Simple Drainage for Chronic Subdural Hematoma: A Case Report
title_sort crowned dens syndrome occurred in a patient after simple drainage for chronic subdural hematoma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5364901/
https://www.ncbi.nlm.nih.gov/pubmed/28664019
http://dx.doi.org/10.2176/nmccrj.cr.2016-0105
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