• Am J Emerg Med · Jan 2023

    Case Reports

    Crowned dens syndrome: An uncommon mimic of meningitis in the emergency department.

    • Johnny Michel, Jean-Baptiste Bedel, Cécile Pinson, and Luc-Marie Joly.
    • Emergency Department, Rouen University Hospital, F 76000 Rouen, France. Electronic address: johnny.michel@chu-rouen.fr.
    • Am J Emerg Med. 2023 Jan 1; 63: 180.e1180.e3180.e1-180.e3.

    AbstractCrowned 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.Copyright © 2022 Elsevier Inc. All rights reserved.

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