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A Diagnosis Fit for a Queen: Crowned Dens Syndrome
Erin N Dankert Eggum1, Sara A Hevesi1, Benjamin J Sandefur1
1Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota.
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.
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