Crowned dens syndrome: An uncommon mimic of meningitis in the emergency department - 03/12/22
Doi : 10.1016/j.ajem.2022.09.045
Johnny Michel, M.D. a, ⁎ 
, Jean-Baptiste Bedel b, Cécile Pinson, M.D. b, Luc-Marie Joly, M.D., Ph.D. a
, Jean-Baptiste Bedel b, Cécile Pinson, M.D. b, Luc-Marie Joly, M.D., Ph.D. a a Emergency Department, Rouen University Hospital, F 76000 Rouen, France
b Radiology Department, Rouen University Hospital, F 76000 Rouen, France
⁎Corresponding author at: Emergency Department, Rouen University Hospital – Charles Nicolle, 1, Rue Germont, 76031 Rouen, Cedex, France.Emergency DepartmentRouen University Hospital – Charles Nicolle1Rue GermontRouenCedex76031France
Abstract |
Crowned dens syndrome is characterized by severe neck pain with stiffness of the neck, sometime febrile, due to calcification of the transverse atlas ligament. We describe the case of a 65-year-old woman referred to the emergency department with a suspicion of meningitis. Several anamnestic and clinical signs ruled out this hypothesis. Re-evaluation of the CT images enabled us to reach the final diagnosis of crowned dens syndrome.
Le texte complet de cet article est disponible en PDF.Keywords : Crowned dens syndrome, Cervicalgia, Inflammatory syndrome, Pseudomeningitis - emergency
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Elsevier Inc. Tous droits réservés.
Vol 63
P. 180.e1-180.e3 - janvier 2023 Retour au numéro
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