CPPD Crowned Dens Syndrome with clivus destruction: A case report

Authors

  • Sayed Ali
  • Michael Hoch
  • Vipulkumar Dadhania
  • Jasvir S. Khurana

DOI:

https://doi.org/10.3941/jrcr.v5i8.802

Keywords:

Calcium pyrophosphate dihydrate deposition disease, dens, clivus

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.

Author Biographies

Sayed Ali

Diagnostic Radiology Attending in MSK, Temple University Hospital, 3401 North Broad St, Philadelphia, PA 19140

Michael Hoch

Diagnostic Radiology Resident, Temple University Hospital, 3401 North Broad St, Philadelphia, PA 19140

Vipulkumar Dadhania

Pathology Resident, Temple University Hospital, 3401 North Broad St, Philadelphia, PA 19140

Jasvir S. Khurana

Pathology Attending, Temple University Hospital, 3401 North Broad St, Philadelphia, PA 19140

Published

2011-08-13

Issue

Section

Musculoskeletal Radiology