The crowned dens syndrome has been termed as acute neck pain ascribed to CPPD 
deposits associated with a tomographic appearance of calcification surrounding 
the odontoid process. This rare entity resulting in cervical cord compression is 
generally seen in older female patients. We present a 26-year-old woman with 
cervical cord compression due to massive calcification in the periodontoid area 
and discuss the X-ray and CT findings of the disease.