[Grisel syndrome--a trauma surgery rarity].
Atlanto-axial fixed subluxation (Grisel's syndrome) is an uncommon complication of upper neck inflammatory processes and head and neck surgery. We present the case of a 6 year old patient who developed a Grisel's syndrome after an upper respiratory infection. X-rays and CT scans demonstrated a fixed C1 and C2 subluxation which was treated with reposition and application of a Halofixateur. We give a review of the pathogenesis, diagnosis and treatment of this rare syndrome.
Abteilung für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neubergstrasse 1, 30625 Hannover. Philip.Kasten@gmx.de
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D001268:Atlanto-Axial Joint / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D002648:Child; D016267:External Fixators; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D004204:Joint Dislocations / Q000175:diagnosis / Q000601:surgery*; D008199:Lymphadenitis / Q000150:complications; D008297:Male; D009333:Neck; D012141:Respiratory Tract Infections / Q000150:complications; D013124:Spinal Injuries / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014103:Torticollis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery