Enfermedad por dep贸sito de cristales de pirofosfato c谩lcico en la articulaci贸n temporomandibular con extensi贸n intracraneal. A prop贸sito de un caso

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• 作者：I. Zubillaga Rodrí ; guez^a ; ^{izubillaga.hdoc@salud.madrid.org} ; R. Gutié ; rrez Dí ; az^a ; G. Sá ; nchez Aniceto^b ; J.J. Montalvo Moreno^c
• 关键词：Articulació ; n temporomandibular ; Enfermedad por depó ; sito de cristales de pirofosfato c&aacute ; lcico ; Seudogota ; Cirugí ; a de base de cr&aacute ; neo
• 刊名：Revista Espa帽ola de Cirug铆a Oral y Maxilofacial
• 出版年：2011
• 期刊代码：pca310_11300558
• 类别：med
• 出版时间：January-March 2011
• 卷：33
• 期：1
• 页码：27-34
• 文件大小：1348 K

摘要

lass="h4">Introduction

The human temporomandibular joint (TMJ) is the structural complex that supports the functional and anatomic relations between the temporal bone and mandible. Symptoms and signs related to neoplastic or pseudotumoral disease of this joint are similar to the symptoms associated with temporomandibular joint dysfunction.

lass="h4">Case report

We report a new case of calcium pyrophosphate deposition disease (CPDD) of the TMJ with intracranial spread. CPDD is a microcrystaline arthropathy with some clinical characteristics of synovial chondromatosis. Key aspects of the diagnosis and treatment of CPDD are discussed.

lass="h4">Discussion

The most frequent tumors of the TMJ are metastatic. Among the tumoralpseudotumoral lesions that originate directly on the synovial membrane are synovial chondromatosis, villonodular synovitis, synovial sarcoma, tophaceous gout and CPDD. CPDD is relatively common in elderly patients, especially in the knee. Analysis of the crystals is essential for diagnosis. Surgical treatment is indicated.

lass="h4">Conclusions

CPDD is an extremely rare disease in the TMJ. TMJ tumor masses are a diagnostic challenge. The wide variety of presenting symptoms frequently obscures the underlying pathology and delays diagnosis.