A Case of An Acute Crystal Periarthritis of The Atlanto-Axial Joint with Severe Neck Pain and Restricted Neck Movement

• Takahashi Chiaki

  Department of Neurosurgery, Saito Memorial Hospital

• Fukuda Osamu

  Department of Neurosurgery, Saito Memorial Hospital

• Koyama Shinya

  Department of Neurosurgery, Saito Memorial Hospital

• Fujiwara Toshiyasu

  Department of Orthopaedic Surgery, Saito Memorial Hospital

• Kameda Hiroshi

  Department of Neurosurgery, Saito Memorial Hospital

• Endo Shunro

  Department of Neurosurgery, University of Toyama

Bibliographic Information

Other Title

• 著明な頚部痛と可動域制限で発症した結晶誘発性環軸関節周囲炎の１例

Abstract

A 54-year-old female complained progressive severe neck pain and restricted neck movement after making lots of deep bows. Her axial CT showed calcification around the atlanto-axial joint. Under a diagnosis of acute crystal-induced periarthritis, we treated her by prednisolone (15mg per day for one week). Her severe neck pain improved quickly after two days. Calcification around the atlanto-axial joint on the CT vanished after one month. So we suspected it was acute inflammatory change induced by hydroxyapatite crystal. Acute crystal periarthritis of this portion is very rare. It is important to treat by steroid quickly, when calcification around atlanto-axial joint with severe neck pain and restricted neck movement is diagnosed by CT scan.

Journal

• Spinal Surgery

  Spinal Surgery 20 (4), 253-256, 2006

  The Japanese Society of Spinal Surgery

Keywords

• atlanto-axial joint
• crystal induced periarthritis
• calcification
• hydroxyapatite

Details

• CRID: 1390282680204729344
• NII Article ID: 110006164340
• NII Book ID: AN10283463
• DOI: 10.2531/spinalsurg.20.253
• ISSN: 18809359
• ISSN: 09146024
• Web Site: https://search.jamas.or.jp/link/ui/2007217406
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed