title: CPPD crowned dens syndrome with clivus destruction: a case report.
abstract: We report a case of CPPD crowned dens syndrome in an 87 year white old male with a known history of pseudogout, with clinical and radiological features characteristic of this syndrome. Interestingly, there was significant mass effect on the clivus, with clivus erosion and destruction, a finding that has not previously been described with this syndrome. The clinical and radiological characteristics of Crowned Dens syndrome, as well as CPPD are reviewed. We suggest that CPPD crowned dens syndrome may be included in the differential diagnosis when clivus destruction or erosion, in association with a soft tissue mass with calcification, is seen.
authors.affiliation: Department of Radiology, Temple University Hospital, Philadelphia, PA 19140, USA. saychink@gmail.com
authors.forename: Sayed
authors.initials: S
authors.lastname: Ali
authors.forename: Michael
authors.initials: M
authors.lastname: Hoch
authors.forename: Vipulkumar
authors.initials: V
authors.lastname: Dadhania
authors.forename: Jasvir S
authors.initials: JS
authors.lastname: Khurana
mesh_terms: D000369:Aged, 80 and over; D002805:Chondrocalcinosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D059350:Chronic Pain / Q000209:etiology; D003388:Cranial Fossa, Posterior / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D019299:Decompression, Surgical; D017809:Fatal Outcome; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D019547:Neck Pain / Q000209:etiology; D011782:Quadriplegia / Q000209:etiology; D013123:Spinal Fusion; D014057:Tomography, X-Ray Computed