Physical findings of crowned dens syndrome

Abstract

If meningitis is suspected, head computed tomography is performed before cerebrospinal fluid collection. Crown dens syndrome can be diagnosed using simultaneous CT scans of the head and neck. Thus, unnecessary CSF tap test can be avoided.

Crowned dens syndrome detected by positron emission tomography-computed tomography (PET-CT): a case description

“…Another characteristic feature of CDS is restricted neck movement. It’s typical clinical presentation is reminiscent of the triad seen in meningitis: acute head and neck pain, stiffness, and fever ( 10 - 13 ). Meningitis typically presents with neck stiffness, a high fever, headache, vomiting, and a positive Kernig’s sign, which can easily be confused with CDS.…”