Grisel's syndrome: a case of potentially lethal spinal cord injury in the adult.
A 22-year-old woman presented with respiratory difficulty and quadriparesis two weeks after an upper respiratory tract infection. CT showed mild (Type I) rotatory atiantoaxial subluxation, but MRI demonstrated a severely contused and oedematous spinal cord at C2-3. The case was managed conservatively with collar, steroid and antibiotics. The outcome was excellent.
Akpinar
G
G
Bayindir Medical Center, Ankara, Turkey.
Tekkök
I H
IH
Sümer
M
M
D000328:Adult; D001268:Atlanto-Axial Joint / Q000293:injuries*; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000175:diagnosis; D007593:Joint Instability / Q000150:complications; D008279:Magnetic Resonance Imaging; D011782:Quadriplegia / Q000209:etiology; D012141:Respiratory Tract Infections / Q000150:complications; D013119:Spinal Cord Injuries / Q000175:diagnosis / Q000209:etiology*; D013577:Syndrome; D014057:Tomography, X-Ray Computed