Atlanto-axial subluxation (Grisel's syndrome) following otolaryngological diseases and procedures.
Grisel's syndrome is a rare condition of uncertain aetiology characterized by atlanto-axial subluxation following an infection in the head and neck region. The condition most frequently affects children and characteristically presents in the post-operative period with cervical pain and torticollis. We describe three cases and discuss the aetiology and pathogenesis. A high index of suspicion may lead to early diagnosis in its natural history thereby preventing potentially serious complications.
D000233:Adenoidectomy; D001268:Atlanto-Axial Joint; D001424:Bacterial Infections / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology* / Q000473:pathology; D008297:Male; D008416:Mastoid / Q000601:surgery*; D011183:Postoperative Complications; D014068:Tonsillectomy; D014103:Torticollis / Q000209:etiology / Q000473:pathology