Comorbidity Between Crowned Dens Syndrome and Primary Hyperparathyroidism

Primary hyperparathyroidism (PHPT) is characterized by various symptoms, including malaise, psychiatric symptoms, and hypertension. When hypercalcemia is accompanied by PHPT, it may cause pathologic fractures or lethargy. Additionally, PHPT can be complicated by crowned dens syndrome (CDS). We prese...

Full description

Saved in:
Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 15; no. 6; p. e40831
Main Authors Tamiya, Soki, Ichibayashi, Ryo, Takahashi, Sadamu, Hanada, Hayato, Nakano, Shiho
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 22.06.2023
Cureus
Subjects
Abdomen
Back pain
Blood tests
Bone density
Calcification
Case reports
Comorbidity
Consciousness
Electrolytes
Emergency Medicine
Fecal incontinence
Fractures
Hypercalcemia
Internal Medicine
Neck pain
Osteopathic Medicine
Osteoporosis
Patients
Pressure ulcers
Proteins
Range of motion
Young adults
hypercalcemia
crowned dens syndrome
hyperparathyroidism
pathological fracture
cervical spine computed tomography
Online AccessGet full text

Cover

More Information
Summary:Primary hyperparathyroidism (PHPT) is characterized by various symptoms, including malaise, psychiatric symptoms, and hypertension. When hypercalcemia is accompanied by PHPT, it may cause pathologic fractures or lethargy. Additionally, PHPT can be complicated by crowned dens syndrome (CDS). We present a case of a 72-year-old female. She had begun experiencing low back pain during movement five days before. The symptoms progressed and the patient was unable to move. Based on the imaging, blood tests, and clinical findings, the patient was diagnosed with PHPT complicated with CDS. Therefore, it is important to perform a careful physical examination of the neck and cervical spine computed tomography in patients with PHPT. Moreover, measuring calcium levels in patients with CDS may lead to early detection of PHPT.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.40831