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Cervical soft tissue calcifications

In the differential diagnosis of cervical soft tissue calcifications, which can cause acute, highly inflammatory neck pain, the localization of the calcification and the morphological absence of other explanatory findings in the cervical and neck region play a decisive role. Especially infections (e.g. discitis, menin- gitis, soft tissue abscesses) must be excluded. For the acute calcifying tendinitis of the M.longus colli, the detection of soft tissue calcification in the above-mentioned musculature, accompanied by the corresponding clinic, the high humoral activity in the blood laboratory and the rapid resolution of symptoms and inflammation is typical under NSAID. The most important, more frequent differential diagnosis is Crowned Dens Syndrome. It is characterised by radiologically detectable calcium pyrophosphate deposits around the dens axis, which can trigger a "pseudo-gout" attack in the neck.


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