Grisel syndrome as a complication of Kawasaki disease: a case report and review of the literature.
Grisel syndrome is a non-traumatic atlantoaxial subluxation and a rare complication of any inflammatory condition of the upper neck and otolaryngological procedures. Delayed diagnosis causes neurological impairment, ranging from radiculopathy to paralysis and death. Kawasaki disease is a very frequent and important acute febrile vasculitis of childhood that is seen worldwide, and upper neck involvement (cervical lymphadenopathy) is one of the common symptoms of Kawasaki disease. A case of Grisel syndrome that occurred as a complication of Kawasaki disease is reported. This is the first case report, in English, of Grisel syndrome as a complication of Kawasaki disease.


CONCLUSIONS
Pediatricians should be aware of Grisel syndrome as a possible complication of Kawasaki disease.
Department of Pediatrics, Shiga Medical Center for Children, 5-7-30 Moriyama, Moriyama, Shiga 524-0022, Japan. nozaki-kgw@umin.ac.jp
Fumihito
F
Nozaki
Takashi
T
Kusunoki
Yoshihide
Y
Tomoda
Ikuko
I
Hiejima
Anri
A
Hayashi
Tomohiro
T
Kumada
Tomoko
T
Miyajima
Tohru
T
Futami
Tatsuya
T
Fujii
D001268:Atlanto-Axial Joint; D002675:Child, Preschool; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis* / Q000209:etiology*; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*