齿状突加冠综合征影像诊断一例

A Case of Crowned Dens Syndrome Diagnosed by Imaging

摘要: 目的：提高对齿状突加冠综合征的认识，为临床诊疗提供精准影像诊断。方法：回顾性分析2024年联勤保障部队大连康复疗养中心1例齿状突加冠综合征疗养员的临床资料及影像资料，并进行文献复习。结果：疗养员为35岁女性，因颈部反复疼痛10年余，加重伴双上肢麻木一个月，患者10余年前在单位加班劳累后出现颈部疼痛，前往联勤保障部队第967医院诊治，在该院行颈椎MRI检查提示颈4/5椎间盘膨出，后以颈椎病转诊至我院康复疗养。结论：齿状突加冠综合征较为少见，其影像学征象较为典型，应尽早明确诊断，尽早治疗，减少患者痛苦。

Abstract: Objective: To enhance the understanding of the Crowned dens syndrome and provide precise imaging diagnosis for clinical treatment. Methods: The clinical and imaging data of a recuperant with Crowned dens syndrome at the Dalian Rehabilitation and Convalescence Center of the PLA Joint Support Force in 2024 were retrospectively analyzed, and literature review was conducted. Results: The recuperant was a 35-year-old female. She had experienced repeated neck pain for over 10 years, with aggravation accompanied by numbness in both upper limbs for one month. The patient developed neck pain 10 years ago after working overtime and fatigue at her workplace, and was treated at the 967th Hospital of the Joint Support Force. At this hospital, cervical MRI examination indicated intervertebral disc protrusion at C4/C5, and the patient was then referred to our rehabilitation and convalescence center for treatment due to cervical spondylosis. Conclusion: Crowned dens syndrome is relatively rare, and its imaging signs are relatively typical. Early diagnosis and treatment should be carried out to reduce the patient’s suffering.