title: Inflammatory C2-3 subluxation: a Grisel's syndrome variant.
abstract: The concurrence of non-traumatic atlanto-axial subluxation with inflammation of the adjacent neck tissues is known as Grisel's syndrome. We report a 5 year old boy with recurring episodes of head tilt and painful and restricted neck movements that developed after repeated bouts of sinusitis. Radiographs showed a subluxation of the C2-3 joint. Medical treatment, with cervical collar, physiotherapy, and non-steroid anti-inflammatory agents, led to complete cure of the disease. We suggest that Grisel's syndrome can occur in a location different from the classic atlanto-axial joint. To the best of our knowledge, this is the first report of a symptomatic case of Grisel's syndrome occurring at the C2-3 segment.
authors.affiliation: Virgen de la Arrixaca University Hospital, Unit of Paediatric Neurosurgery, El Palmar, Murcia, Spain. jfmlage@arrixaca.huva.es
authors.forename: J F
authors.initials: JF
authors.lastname: Martínez-Lage
authors.forename: T
authors.initials: T
authors.lastname: Morales
authors.forename: V
authors.initials: V
authors.lastname: Fernandez Cornejo
mesh_terms: D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging / Q000293:injuries*; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging*; D008297:Male; D011859:Radiography; D012008:Recurrence; D013577:Syndrome; D014103:Torticollis / Q000000981:diagnostic imaging*