An 81-year-old
woman presented to our hospital with a 1-month history of headache and neck
pain. She had no neurological symptoms, articulation disorder, or swallowing
disorder.
The plain
radiograph showed calcification deposits around the atlantoaxial joint and
anterior vertebral body. The computed tomography scan of her neck showed
details of these calcifications.
Huge crownshaped
deposits of hydroxyapatite or calcium pyrophosphate dihydrate were seen. The
C-reactive protein level was slightly increased to 0.78 mg/dL. Oral
non-steroidal anti-inflammatory drug (NSAID) therapy resulted in complete
improvement of her symptoms.
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