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Unusual presentation of more common disease/injury
An unusual cause of recurrent falls in an older gentleman
  1. Alexander Brent1,
  2. Ruth Hartley2
  1. 1FY1, Department of Elderly Care, Mayday University Hospital, London, UK
  2. 2ST3, Department of Elderly Care, Mayday University Hospital, London, UK
  1. Correspondence to Alexander Brent, ajb101{at}doctors.org.uk

Summary

The authors present the case of an 82-year-old gentleman who was admitted through Accident & Emergency with a history of increasingly recurrent falls. A thorough history and examination led to the provisional diagnosis of cervical cord compression. Subsequent investigations confirmed an erosive abnormality around the odontoid peg, with an adjacent soft tissue mass. The patient underwent a partial odontoidectomy and the histological examination of the pannus revealed a basophilic crystalline arthropathy, consistent with pseudogout.

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http://dx.doi.org/10.1136/bcr.04.2010.2910

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.

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    2010 BMJ Publishing Group Ltd