中西医结合治疗齿状突加冠综合征1例

Combination of Chinese and Western therapy for crowned dens syndrome:a case report

齿状突加冠综合征(crowned dens syndrome,CDS)由于发病率较低,通常容易被临床低估。CDS以急性颈项部疼痛、颈椎僵硬不适、发热等为主要症状,实验室检查显示C反应蛋白(C-reactive protein,CRP)与血沉(erythrocyte sedimentation rate,ESR)明显升高。CT是诊断CDS的金标准,但其临床文献报道较少,CDS的诊断尚无统一的循证医学证据,容易误诊。本文报道了中西医结合治疗CDS患者1例,治疗效果显著,可为临床提供新的诊疗思路。

Crowned dens syndrome(CDS)is often clinically underestimated due to its lower incidence.CDS is characterized by acute neck pain,cervical stiffness and discomfort,and fever.Laboratory tests showed that C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)were markedly elevated.CT is the gold standard for the diagnose of CDS.However,there are few clinical literatures,and there is no unified evidence-based evidence for CDS,and it is easy to misdiagnose.A case of combination of Chinese and Western therapy for CDS was reported,and the treatment effect was remarkable,which can provide new diagnosis and treatment ideas for clinical practice.