What is crowned dens syndrome?
The crowned dens syndrome is a rare disease entity which radiologically shows calcification at cruciform ligament around odontoid process and clinically presents acute cervico-occipital pain, fever, and neck stiffness accompanied by biological inflammatory reaction as mentioned earlier.
What causes crowned dens syndrome?
Crowned dens syndrome is a clinical (acute neck pain) and radiographic (calcium deposits around dens) entity 3. The crowned dens deposits can be caused either by calcium pyrophosphate dehydrate or by hydroxyapatite. It is not possible to differentiate between them on the basis of imaging findings alone.
What causes calcium build up in your neck?
Hypercalcemia is usually a result of overactive parathyroid glands. These four tiny glands are situated in the neck, near the thyroid gland. Other causes of hypercalcemia include cancer, certain other medical disorders, some medications, and taking too much of calcium and vitamin D supplements.
How do you treat calcium buildup in neck?
Conservative treatment with NSAIDs or cortisone is another treatment option. However, surgical decompression is a safe and effective treatment for calcification of the cervical yellow ligament. In this case, surgical decompression was chosen because the symptoms remained after conservative treatment.
What causes calcium build up in the neck?
Chronic trauma to the muscle, tendon degeneration, and inflammation for any reason seem to trigger calcium deposits. Patients may not even know there’s a problem until the deposits rupture. Inflammation results in acute symptoms such as fever, sore throat, neck stiffness, and pain.
What foods reduce calcium levels?
For the unversed, alcohol and salty foods can really flush out calcium from your body. In fact, as the calcium levels decrease in the body, the body extracts calcium from your bones to function properly. This makes the bones porous, and in extreme cases, can also lead to osteoporosis.
Does vitamin D increase calcium?
In summary, our results show that the increase in calcium absorption is very small in women given vitamin D doses between 400 and 4800 IU daily. Even though serum 25OHD increases to 66 ng/ml (165 nmol/liter), the increase in calcium absorbed is only 6 mg from a 100-mg carrier dose.
When is the best time of day to take calcium and vitamin D?
Calcium is absorbed best when taken in amounts of 500 – 600 mg or less. This is the case for both foods and supplements. Try to get your calcium-rich foods and/or supplements in small amounts throughout the day, preferably with a meal.
The crowned dens syndrome is an acute presentation due to crystal deposition in the periodontoid soft tissues, and should not be used for chronic retroodontoid pseudotumor (also caused by CPPD). As such the term should not be used unless inflammatory symptoms and pain are present 4.
What is the pathophysiology of Calced dens syndrome?
Crowned dens syndrome is characterized by neck pain and stiffness due to crown-shaped calcification around the odontoid process. The prevalence of this syndrome is unclear.
What is CDs syndrome of the neck?
Crowned dens syndrome (CDS) is a clinical and radiological entity consisting of acute neck pain, accompanied by specific radiographic findings of calcifications from calcium pyrophosphate dihydrate crystals superior to and surrounding the dens of the axis, resulting in a “crown-like” appearance on coronal views 1.
What are the treatment options for crowned dens syndrome?
Crowned dens syndrome usually requires only medical management with anti-inflammatory agents. It usually spontaneously resolves although duration is variable (from days to months) 1. In some cases, the inflammatory pannus can result in cervical cord compression, and this may require surgical decompression 1,2 .