scholarly journals Grisel’s syndrome, a rare cause of anomalous head posture in children: a case report

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Davide Allegrini ◽  
Alessandro Autelitano ◽  
Elisabetta Nocerino ◽  
Paolo Fogagnolo ◽  
Stefano De Cillà ◽  
...  
2020 ◽  
Vol 61 (6) ◽  
pp. 699-705
Author(s):  
Jeong Woo Kang ◽  
Seon Ha Bae ◽  
Joon Hyung Yeo ◽  
Nam Ju Moon

2021 ◽  
Vol 70 (2) ◽  
pp. 97-101
Author(s):  
Nicol Kossuthová ◽  
Jan Mejzlík ◽  
Karel Zadrobílek ◽  
Jana Dědková ◽  
Viktor Chrobok

Introduction: By definition from the literature, Grisel’s syndrome is described as non-traumatic rotational atlantoaxial instability between C1 and C2 vertebrae. It can occur during an infection of a soft tissue in the cervicocranial region or after an operation in the ENT region. Because of the frequent occurrence after operations, we inclined to the definition which includes a traumatic subluxation as a cause of origin, and it’s not defined as non-traumatic only. The instability manifests itself with abnormal head posture that is called torticollis. Increased incidence in adolescence is more common because of a greater ligamentous laxity of the joint capsules, increased perfusion of antlantoaxial regions and longer alar ligaments. In this article, the case of a child with Grisel’s syndrome after adenotomy is described. The pathophysiology, symptomatology, diagnostic management and treatment are discussed. Keywords: Grisel’s syndrome – torticollis – atlantoaxial instability – adenotomy


2011 ◽  
Vol 26 (3) ◽  
pp. 243-247 ◽  
Author(s):  
Münevver Serdaroğlu Beyazal

2005 ◽  
Vol 69 (12) ◽  
pp. 1689-1692 ◽  
Author(s):  
Chad Galer ◽  
Eric Holbrook ◽  
John Treves ◽  
Donald Leopold

2012 ◽  
Vol 126 (5) ◽  
pp. 529-531 ◽  
Author(s):  
K J Sia ◽  
I P Tang ◽  
C K L Kong ◽  
A Nasriah

AbstractObjectives:To discuss the pathophysiology of atlanto-axial subluxation as a rare complication of tonsillectomy, and to discuss the important radiological findings for diagnosis and treatment planning.Case report:We report a case of post-tonsillectomy atlanto-axial subluxation, also known as Grisel's syndrome, in a child. On the third day after surgery, the boy presented with torticollis with no neurological deficit. Rotatory atlanto-axial subluxation was clearly shown in computed tomography scans of the neck. Cervical traction for one week successfully reduced the subluxation, with no long-term sequelae.Conclusion:Pre-existing cervical ligamentous laxity and post-operative infection are believed to be the main causes of Grisel's syndrome. Although it is rare, patients are advised to seek treatment early if any neck pain or fever persists. Early diagnosis is important for better treatment outcome. Initial conservative measures are advised before more invasive cervical traction is adopted.


Sign in / Sign up

Export Citation Format

Share Document