Grisel's syndrome: a case report and review of the literature.
Grisel's syndrome is non-traumatic atlantoaxial subluxation (AAS) secondary to an inflammatory process in the upper neck. It is a rare condition that occurs almost exclusively in children and has been associated with upper cervical infections and otolaryngologic procedures. A case of AAS secondary to an upper cervical infection is presented. Potential sequelae can be severe; early diagnosis and treatment of Grisel's syndrome can prevent tragic outcome.
Department of Otolaryngology, University of Nebraska Medical Center, 981225 Nebraska Medical Center, Omaha, NE 68198-1225, USA. cgaler@unmc.edu
Chad
C
Galer
Eric
E
Holbrook
John
J
Treves
Donald
D
Leopold
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D007249:Inflammation / Q000150:complications; D004204:Joint Dislocations / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D009333:Neck / Q000473:pathology*; D019547:Neck Pain / Q000209:etiology; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014069:Tonsillitis / Q000150:complications / Q000188:drug therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents