Crowned dens syndrome developed after an endoscopic retrograde cholangiopancreatography procedure

We present a unique case of crowned dens syndrome(CDS) that developed after endoscopic retrograde cholangiopancreatography(ERCP) in a patient who presented with fever and neck pain. Administration of non-steroidal anti-inflammatory drugs was extremely effective for relieving fever and neck pain, and in the improvement of inflammatory markers. To the best of our knowledge, this is the first case report of CDS caused by an ERCP procedure. In a patient with fever and neck pain after an ERCP procedure, CDS should be considered in the differential diagnosis.

内镜下经鼻颅内外联合入路行前中颅底沟通瘤切除术患者的护理

目的探讨内镜经鼻颅内外联合入路切除前中颅底沟通瘤的护理要点。方法对13例患者术前加强心理护理及完善相关检查，调整患者的心理状态，术后加强切口及并发症的观察及护理。结果手术全切除11例，次全切除2例，术后病理示神经鞘瘤4例，鼻咽纤维血管瘤3例，脑膜瘤2例，垂体瘤、内翻性乳头状瘤、鳞状细胞癌和嗅神经母细胞瘤各1例，经过及时治疗与护理，术后病情恢复良好出院。结论采用内镜下经鼻颅内外联合入路切除前中颅底沟通瘤创伤性小，视野良好，能安全且完全切除良性肿瘤，加强围手术期护理，使患者尽早接受手术，预防并及时处理并发症，能提高手术成功率及治疗效果。