Combination of Chinese and Western therapy for crowned dens syndrome: a case report

Published on Jan. 30, 2024Total Views: 1626 times Total Downloads: 486 times Download Mobile

Author: ZHANG Jitao ¹  FAN Chenghu ² QI Bingxian ² WU Yize ¹ HU Xiangxin ¹ LI Zhaocheng ²

Affiliation: 1. Clinical College of Chinese Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, China 2. The First Department of Spine and Orthopedics, Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730000, China

Keywords: Crowned dens syndrome Combination of Chinese and Western medicine Case report

DOI: 10.12173/j.issn.1004-4337.202310085

Reference: Zhang JT, Fan CH, Qi BX, Wu YZ, Hu XX, Li ZC. Combination of Chinese and Western therapy for crowned dens syndrome: a case report[J]. Journal of Mathematical Medicine, 2024, 37(1): 68-72. DOI: 10.12173/j.issn.1004-4337.202310085[Article in Chinese]  Copied

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Abstract

Crowned dens syndrome (CDS) is often clinically underestimated due to its lower incidence. CDS is characterized by acute neck pain, cervical stiffness and discomfort, and fever. Laboratory tests showed that C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) were markedly elevated. CT is the gold standard for the diagnose of CDS. However, there are few clinical literatures, and there is no unified evidence-based evidence for CDS, and it is easy to misdiagnose. A case of combination of Chinese and Western therapy for CDS was reported, and the treatment effect was remarkable, which can provide new diagnosis and treatment ideas for clinical practice.

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References

1.Bouvet JP, le Parc JM, Michalski B, et al. Acute neck pain due to calcifications surrounding the odontoid process: the crowned dens syndrome[J]. Arthritis Rheum, 1985, 28(12): 1417-1420. DOI: 10.1002/art.1780281215.

2.Wu DW, Reginato AJ, Torriani M, et al. The crowned dens syndrome as a cause of neck pain: report of two new cases and review of the literature[J]. Arthritis Rheum, 2005, 53(1): 133-137. DOI: 10.1002/art.20915.

3.Zeng L, Liao H, Xie M, et al. Images in neuroscience: crowned dens syndrome[J]. Neurol India, 2022, 70(3): 1329-1330. DOI: 10.4103/0028-3886.349617.

4.Uh M, Dewar C, Spouge D, et al. Crowned dens syndrome: a rare cause of acute neck pain[J]. Clin Rheumatol, 2013, 32(5): 711-714. DOI: 10.1007/s10067-013-2179-5.

5.Inoue A, Kohno K, Ninomiya S, et al. Usefulness of cervical computed tomography and magnetic resonance imaging for rapid diagnosis of crowned dens syndrome: a case report and review of the literature[J]. Int J Surg Case Rep, 2017, 30: 50-54. DOI: 10.1016/j.ijscr.2016.11.045.

6.Younis AA. Crowned dens syndrome as a cause of acute neck pain: a case report and review of the literature[J]. Mediterr J Rheumatol, 2017, 28(2): 101-105. DOI: 10.31138/mjr.28.2.101.

7.Zimmer V. Crowned dens syndrome[J]. Clin Case Rep, 2020, 8(10): 2088-2089. DOI: 10.1002/ccr3.3058.

8.Rosenthal AK. Calcium pyrophosphate deposition and crowned dens syndrome[J]. Cleve Clin J Med, 88(4): 206-207. DOI: 10.3949/ccjm.88a.21008.

9.Baysal T, Baysal O, Kutlu R, et al. The crowned dens syndrome: a rare form of calcium pyrophosphate deposition disease[J]. Eur Radiol, 2000, 10(6): 1003-1005. DOI: 10.1007/s003300051052.

10.王洲. 枢椎齿状突加冠综合征的临床及MSCT分析[C]. 中国中西医结合学会医学影像专业委员会第十七次全国学术大会暨甘肃省中西医结合学会医学影像专业委员会第六届学术年会资料汇编, 2019: 1. [Wang Z. Clinical and MSCT analysis of axial odontoid process crowning syndrome[C]. The 17th National Academic Conference of the Chinese Imaging Society of Integrative Medicine and the 6th Academic Annual Meeting of the Medical Imaging Professional Committee of the Gansu Association of Integrative Medicine, 2019: 1.] DOI: 10.26914/c.cnkihy.2019.017339.

11.舒珊, 张昊. 推拿治疗齿状突加冠综合征作用机制探讨[J]. 中国民间疗法, 2023, 31(1): 24-27. [Shu S, Zhang H. Discussion on the mechanism of massage in treating crowned dens syndrome[J]. China's Naturopathy, 2023, 31(1): 24-27.] DOI: 10.19621/j.cnki.11-3555/r.2023.0108.

12.李沛, 王旭松, 赵雄飞. 青年齿状突加冠综合征1例并文献复习[J]. 四川医学, 2022, 43(8): 847-849. [Li P, Wang XS, Zhao XF. A case of dentate plus coronal syndrome in a young man and review of the literature[J]. Sichuan Medical Journal, 2022, 43(8): 847-849.] DOI: 10.16252/j.cnki.issn1004-0501-2022.08.022.

13.唐谨, 李俊杰, 吴从俊, 等. 齿状突加冠综合征3例报告[J]. 中国脊柱脊髓杂志, 2020, 30(1): 91-94. [Tang J, Li JJ, Wu CJ, et al. Crowned dens syndrome: a report of 3 cases[J]. Chinese Journal of Spine and Spinal Cord, 2020, 30(1): 91-94.] DOI: 10.3969/j.issn.1004-406X.2020.01.14.

14.孟全华, 张萍, 田婧, 等. 齿状突加冠综合征1例报道[J]. 卒中与神经疾病, 2020, 27(1): 117, 122. [Meng QH, Zhang P, Tian J, et al. Crowned dens syndrome: one case report[J]. Stroke and Nervous Diseases, 2020, 27(1): 117, 122.] DOI: 10.3969/j.issn.1007-0478.2020.01.028.

15.黄攀, 徐敏, 何晓英. 齿状突加冠综合征一例[J]. 中国现代神经疾病杂志, 2020, 20(9): 832-834. [Huang P, Xu M, He XY. Crowned dens syndrome: one case report[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2020, 20(9): 832-834.] DOI: 10.3969/j.issn.1672-6731.2020.09.013.

16.杨博文, 陈耀龙, 柳永明. 齿状突加冠综合征1例报告[J]. 甘肃医药, 2021, 40(3): 283-284, 288. [Yang BW, Chen YL, Liu YM. Crowned dens syndrome: a case report[J]. Gansu Medical Journal, 2021, 40(3): 283-284, 288.] DOI: 10.15975/j.cnki.gsyy.2021.03.033.

17.吴若冰, 曹鹏, 吴瑞瑞, 等. 齿状突加冠综合征1例[J]. 中医正骨, 2021, 33(7): 68-70. [Wu RB, Cao P, Wu RR, et al. Crowned dens syndrome: a case report[J]. The Journal of Traditional Chinese Orthopedics and Traumatologys, 2021, 33(7): 68-70.] DOI: 10.3969/j.issn.1001-6015.2021.07.015.

18.李叶婷, 吴倩, 陈浩, 等. 齿状突加冠综合征一例[J]. 放射学实践, 2021, 36(10): 1335-1336. [Li YT, Wu Q, Chen H, et al. Crowned dens syndrome: a case report[J]. Radiologic Practice, 2021, 36(10): 1335-1336.] DOI: 10.13609/j.cnki.1000-0313.2021.10.028.

19.杨海云, 邓强, 朱宝, 等. 齿状突加冠综合征1例[J]. 中医正骨, 2022, 34(2): 77-80. [Yang HY, Deng Q, Zhu B, et al. Crowned dens syndrome: a case report[J]. The Journal of Traditional Chinese Orthopedics and Traumatology, 2022, 34(2): 77-80.] DOI: 10.3969/j.issn.1001-6015.2022.02.020.

20.Cox TH, Gentle SV, Rees DHE. Crowned dens syndrome; a diagnostic thorn[J]. Rheumatology (Oxford), 2020, 59(3): 694. DOI: 10.1093/rheumatology/kez339.

21.Monet A, Massonnat R, Merino B, et al. Crowned dens syndrome diagnosed on ¹⁸F-FDG PET/CT[J]. Clin Nucl Med, 2014, 39(12): 1041-1042. DOI: 10.1097/RLU.0000000000000544.

22.Scutellari PN, Galeotti R, Leprotti S, et al. The crowned dens syndrome. Evaluation with CT imaging[J]. Radiol Med, 2007, 112(2): 195-207. DOI: 10.1007/s11547-007-0135-7.

23.Aouba A, Vuillemin-Bodaghi V, Mutschler C, et al. Crowned dens syndrome misdiagnosed as polymyalgia rheumatica, giant cell arteritis, meningitis or spondylitis: an analysis of eight cases[J]. Rheumatology (Oxford), 2004, 43(12): 1508-1512. DOI: 10.1093/rheumatology/keh370.

24.Tang J, Li J, Wu C, et al. Report of four cases of crowned dens syndrome: clinical presentation, CT findings and treatment[J]. Exp Ther Med, 2020, 20(4): 3853-3859. DOI: 10.3892/etm.2020.9128.

25.Conticini E, Di Martino V, De Stefano R, et al. Crowned dens syndrome presenting as hemiplegia and hypoesthesia[J]. J Clin Rheumatol, 2020, 26(8): e312-e313. DOI: 10.1097/RHU.0000000000001165.

26.Bamgboje AO, Mohandas N. Crowned dens syndrome masquerading as meningitis[J]. Cureus, 2021, 13(1): e12678. DOI: 10.7759/cureus.12678.

27.Sato Y, Yasuda T, Konno S, et al. Pseudogout showing meningoencephalitic symptoms: crowned dens syndrome[J]. Intern Med, 2004, 43(9): 865-868. DOI: 10.2169/internalmedicine.43.865.

28.Nogueira Gomes T, Camelo Pereira M, Pinheiro Alves A, et al. Crowned dens syndrome: a rare complication of calcium pyrophosphate crystal deposition disease[J]. Cureus, 2022, 14(6): e25593. DOI: 10.7759/cureus.25593.

29.Awisat A, Rosner I, Rimar D, et al. Crowned dens syndrome, yet another rheumatic disease imposter[J]. Clin Rheumatol, 2020, 39(2): 571-574. DOI: 10.1007/s10067-019-04822-9.

30.Oka A, Okazaki K, Takeno A, et al. Crowned dens syndrome: report of three cases and a review of the literature[J]. J Emerg Med, 2015, 49(1): e9-e13. DOI: 10.1016/j.jemermed.2015.02.005.

31.Yu YK, Xu C, Jiang X, et al. Progress on diagnosis and treatment of crown dens syndrome[J]. Zhongguo Gu Shang, 2019, 32(10): 975-978. DOI: 10.3969/j.issn.1003-0034.2019.10.021.

32.Goto S, Umehara J, Aizawa T, et al. Crowned dens syndrome[J]. J Bone Joint Surg Am, 2007, 89(12): 2732-2736. DOI: 10.2106/JBJS.F.01322.

33.Bansal A, Gupta M. Crowned dens syndrome presenting as pyrexia of unknown origin (PUO)[J]. Rom J Intern Med, 2019, 57(3): 266-269. DOI: 10.2478/rjim-2019-0011.

34.Cozzani E, Basso D, Cimmino MA, et al. Generalized annular granuloma associated with crowned dens syndrome, which resolved with colchicine treatment[J]. Clin Exp Dermatol, 2016, 41(6): 640-642. DOI: 10.1111/ced.12863.

35.张欣, 杨文龙, 刘方铭. 三才思想在针刀治疗项痹病中的应用探讨[J]. 中国针灸, 2023, 43(6): 697-700. [Zhang X, Yang WL, Liu FM. Application of "Sancai principle" for needle-knife treatment of bi syndrome of neck region[J]. Chinese Acupuncture & Moxibustion, 2023, 43(6): 697-700.] DOI: 10.13703/j.0255-2930.20220814-k0003.

36.张登本. 对《黄帝内经》所论之“痹病”及其意义的探讨[J]. 中医药通报, 2020, 19(5): 1-3. [Zhang DB. On the "Bi Disease" and its significance in Huangdi Neijing[J]. Traditional Chinese Medicine Journal, 2020, 19(5): 1-3] DOI: 10.14046/j.cnki.zyytb2002.2020.05.001.

37.梁裕琪, 袁立霞. 张仲景治痹方中桂枝的配伍应用特点探析[J]. 中国中医基础医学杂志, 2018, 24(7): 996-998. [Liang YQ, Yuan LX. Brief analysis of Bi syndrome treated with cassia twig compatibility by Zhang Zhongjing[J]. Journal of Basic Chinese Medicine, 2018, 24(7): 996-998.] DOI: 10.19945/j.cnki.issn.1006-3250.2018.07.040.

38.李传成, 邱朝阳, 霍青. 张仲景论治项强探析[J]. 山东中医药大学学报, 2021, 45(2): 173-177. [Li CC, Qiu CY, Huo Q. Analysis on treatment of neck rigidity by Zhang Zhongjing[J]. Journal of Shandong University of Traditional Chinese Medicine, 2021, 45(2): 173-177.] DOI: 10.16294/j.cnki.1007-659x.2021.02.006.