A Diagnosis Fit for a Queen: Crowned Dens Syndrome

Case Presentation: We describe a case of an elderly female patient with a history of pseudogout who presented to the emergency department with atraumatic neck pain, fever, and malaise, who was found to have crowned dens syndrome on computed tomography imaging. Discussion: It is important that emerge...

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Bibliographic Details
Main Authors: Erin N. Dankert Eggum, Sara A. Hevesi, Benjamin J. Sandefur
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2024-11-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/8ws2b8b9
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Summary:Case Presentation: We describe a case of an elderly female patient with a history of pseudogout who presented to the emergency department with atraumatic neck pain, fever, and malaise, who was found to have crowned dens syndrome on computed tomography imaging. Discussion: It is important that emergency physicians consider crowned dens syndrome in elderly patients presenting with neck pain and signs of inflammation to ensure timely diagnosis, treatment, and to minimize unnecessary invasive testing.
ISSN:2474-252X