臨床整形外科43巻4号

2008年04月発行

臨床経験

環軸関節穿刺・注射で軽快する急性頚部痛―Crowned Dens Syndrome

著者： 小林孝¹ 今野則和¹ 石川慶紀¹

所属機関： ¹湖東総合病院整形外科

ページ範囲：P.369 - P.373

　Crowned dens syndrome（CDS）と診断した症例に環軸関節穿刺を行い，痛みの原因が環軸関節に起因しているかを検証した．CDS 4例に環軸関節穿刺をした後，ゲンタシン^®または1％塩酸メピバカインを1ml注入した．Visual analogue scale（VAS）は穿刺前平均89mmが穿刺30分後48mm，翌日には40mmとなった．3例で穿刺液が吸引され，穿刺液中にピロリン酸カルシウム（CPPD）結晶を確認できた．CDSは環軸関節に生じた偽痛風発作であることが示唆された．

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