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"documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Reumatol Clin. 2012;8:46-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4271 "formatos" => array:3 [ "EPUB" => 58 "HTML" => 3663 "PDF" => 550 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>" "titulo" => "Gouty Arthritis Is Not Everything" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "46" "paginaFinal" => "47" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "No todo es gota" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 735 "Ancho" => 950 "Tamanyo" => 74451 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Septic arthritis due to <span class="elsevierStyleItalic">S. lugdunensis</span>, with affection of the distal interphalangeal joint of the second finger of the right hand.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Carmen Carrasco Cubero, José Luis de la Iglesia Salgado" "autores" => array:2 [ 0 => array:2 [ "nombre" => "Carmen" "apellidos" => "Carrasco Cubero" ] 1 => array:2 [ "nombre" => "José Luis" "apellidos" => "de la Iglesia Salgado" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S1699258X11000908" "doi" => "10.1016/j.reuma.2011.02.003" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1699258X11000908?idApp=UINPBA00004M" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574311000475?idApp=UINPBA00004M" "url" => "/21735743/0000000800000001/v1_201305061634/S2173574311000475/v1_201305061634/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Clinical Rheumatology</span>" "titulo" => "Crowned Dens Syndrome: Calcification of the Transverse Ligament of the Atlas" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "48" "paginaFinal" => "49" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Elena Peñas Martínez, M. José Moreno Martínez, Carlos Marras Fernandez-Cid, Begoña Torregrosa Sala" "autores" => array:4 [ 0 => array:3 [ "nombre" => "Elena" "apellidos" => "Peñas Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "M. José" "apellidos" => "Moreno Martínez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:4 [ "nombre" => "Carlos" "apellidos" => "Marras Fernandez-Cid" "email" => array:1 [ 0 => "cmarras2002@yahoo.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 3 => array:3 [ "nombre" => "Begoña" "apellidos" => "Torregrosa Sala" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Reumatología, HUVA Arrixaca, Murcia, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Radiología, HUVA Arrixaca, Murcia, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Calcificación del ligamento transverso del atlas: síndrome de Crowned Dens" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 703 "Ancho" => 950 "Tamanyo" => 61875 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cervical CT: calcification of the transverse odontoid ligament (sagittal).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Axial skeleton affection due to chondrocalcinosis has been associated to calcium deposits in the intervertebral disc, the yellow ligament, the fact joints and even the sacroiliac joints. Calcification of the transverse ligament of the atlas (<a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1–3</a>) is an infrequent manifestation and has been denominated the Crown Dens syndrome. It mostly constitutes an asymptomatic clinical picture but may be associated with episodes of acute cervical pain, stiffness and fever, with the added diagnostic difficulties of these cases.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">We present the case of an 82-year-old woman who consulted us due to intense cervical pain which responded poorly to analgesics. She had a history of atrial fibrillation undergoing anticoagulation therapy, spondyloarthritis and radiologic chondrocalcinosis of the knees. Physical examination revealed spontaneous pain on the cervical spine, radiating to the occipital and mastoid regions, with stiffness and movement limitations due to pain, with no neurologic manifestations.</p><p id="par0015" class="elsevierStylePara elsevierViewall">X-ray studies show cervical spondyloarthritis and calcification of the transverse ligament of the atlas and winged ligaments of the atlas-axis joint (<a class="elsevierStyleCrossRef" href="#fig0020">Fig. 4</a>).</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">The Crowned Dens syndrome was described initially in 1985 by Bouvet et al.<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1,2</span></a> Diagnosis is based on the association of a compatible clinical picture and imaging findings, mainly calcium deposits in atlas-axis joint ligaments, visible on CT.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3,4</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Knowledge of this entity is important in certain cases in which it may be difficult to perform a differential diagnosis with neurological infections, polymyalgia rheumatic, giant cell arteritis, etc.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Peñas Martínez E, et al. Calcificación del ligamento transverso del atlas: síndrome de Crowned Dens. Reumatol Clin. 2012;<span class="elsevierStyleBold">8(1)</span>:48–9.</p>" ] ] "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 551 "Ancho" => 950 "Tamanyo" => 76719 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Cervical CT: calcification of the transverse odontoid ligament (coronal).</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 703 "Ancho" => 950 "Tamanyo" => 61875 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cervical CT: calcification of the transverse odontoid ligament (sagittal).</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Fig. 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 687 "Ancho" => 950 "Tamanyo" => 92868 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Cervical CT: calcification of the transverse odontoid ligament (axial).</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Fig. 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 761 "Ancho" => 950 "Tamanyo" => 85206 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Cervical MR: degenerative changes with ospteophites in the last discs with moderate repercussion on the dural sac with no images of calcification on MR.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:4 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Acute neck pain and fever as the first manifestation of chondrocalcinosis with calcification of the transverse ligament of the atlas. 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Schwarzberg" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Rhum Mal Osteoartic" "fecha" => "1980" "volumen" => "47" "paginaInicial" => "507" "paginaFinal" => "509" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7423110" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Crowned dens syndrome misdiagnosed as polymyalgia reumática, giant cell arteritis, meningitis or spondylitis: an análisis of eight cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Aouba" 1 => "V. Vuillemin-Bodaghi" 2 => "C. Mutschler" 3 => "M. De Bandt" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/rheumatology/keh370" "Revista" => array:6 [ "tituloSerie" => "Rheumatology" "fecha" => "2004" "volumen" => "43" "paginaInicial" => "1508" "paginaFinal" => "1512" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15316123" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Calcification of the transverse ligament of the atlas in chondrocalcinosis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "S. Roverano" 1 => "A.C. Ortiz" 2 => "F. Ceccato" 3 => "S.O. Paira" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Rheumatol" "fecha" => "2010" "volumen" => "16" "paginaInicial" => "7" "paginaFinal" => "9" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2716009" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000000800000001/v1_201305061634/S2173574311000207/v1_201305061634/en/main.assets" "Apartado" => array:4 [ "identificador" => "5795" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in Clinical Rheumatology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000800000001/v1_201305061634/S2173574311000207/v1_201305061634/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574311000207?idApp=UINPBA00004M" ]
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2016 March | 0 | 15 | 15 |
2015 December | 2 | 0 | 2 |
2015 October | 1 | 0 | 1 |
2015 September | 1 | 0 | 1 |
2015 August | 3 | 14 | 17 |
2015 July | 85 | 9 | 94 |
2015 June | 134 | 7 | 141 |
2015 May | 133 | 13 | 146 |
2015 April | 138 | 12 | 150 |
2015 March | 157 | 11 | 168 |
2015 February | 160 | 7 | 167 |
2015 January | 134 | 12 | 146 |
2014 December | 138 | 12 | 150 |
2014 November | 127 | 9 | 136 |
2014 October | 134 | 15 | 149 |
2014 September | 124 | 11 | 135 |
2014 August | 134 | 12 | 146 |
2014 July | 153 | 14 | 167 |
2014 June | 113 | 10 | 123 |
2014 May | 111 | 22 | 133 |
2014 April | 101 | 13 | 114 |
2014 March | 108 | 23 | 131 |
2014 February | 115 | 22 | 137 |
2014 January | 134 | 19 | 153 |
2013 December | 114 | 14 | 128 |
2013 November | 101 | 14 | 115 |
2013 October | 104 | 22 | 126 |
2013 September | 106 | 22 | 128 |
2013 August | 110 | 25 | 135 |
2013 July | 105 | 23 | 128 |
2013 June | 60 | 24 | 84 |
2013 May | 73 | 21 | 94 |
2013 April | 86 | 35 | 121 |
2013 March | 84 | 23 | 107 |
2013 February | 97 | 12 | 109 |
2013 January | 93 | 29 | 122 |
2012 December | 91 | 22 | 113 |
2012 November | 57 | 18 | 75 |
2012 October | 56 | 12 | 68 |
2012 September | 33 | 2 | 35 |
2012 July | 8 | 0 | 8 |
2012 June | 16 | 0 | 16 |
2012 May | 35 | 0 | 35 |
2012 April | 25 | 0 | 25 |
2012 March | 22 | 0 | 22 |
2012 February | 5 | 0 | 5 |