scholarly journals Retropharyngeal abscess causing grisel’s syndrome secondary to tuberculosis of cervical spine, a rare form of torticollis: case report

2021 ◽  
Vol 7 (5) ◽  
pp. 871
Author(s):  
Reegina Sivarajan ◽  
Mohammad Fuaz Mahfuz ◽  
Siti Hajar Sanudin
Keyword(s):  
Case Report ◽  
Neck Pain ◽  
Neurological Complications ◽  
Retropharyngeal Abscess ◽  
Atlantoaxial Joint ◽  
Neck Movement ◽  
Neck Stiffness ◽  
Rare Type ◽  
Neck Infection ◽  
Grisel’S Syndrome

<p>Grisel’s syndrome is a rare type of non-traumatic subluxation of an atlantoaxial joint characterized by torticollis, neck pain, and reduced neck movement. The common causes of Grisel’s syndrome are head and neck infection or post-otorhinolaryngology (ORL) procedures. We are reporting a case of a 3-year-old boy with a gradual worsening of neck stiffness, neck pain, and restricted neck movement for more than one month. The patient had no history of trauma. The computerized tomographic (CT) showed a retropharyngeal abscess with a bony erosion causing atlantoaxial subluxation. The management and progress of this patient are discussed. The objective of this case report is to emphasize that Grisel’s syndrome should be considered a differential in a painful torticollis to prompt an early diagnosis and treatment to prevent serious neurological complications.</p>

scholarly journals Retropharyngeal Abscess in a Fourteen-Month-Old Child Presenting with Dysphagia and Obstructive Sleep Apnea: A Case Report

2021 ◽  
pp. 1-5
Author(s):  
Zahar Alkhadem ◽  
Lubna Lutfi ◽  
Doha Ali ◽  
Asma Anan Mohammed ◽  
Iyad Said Hamadi
Keyword(s):  
Obstructive Sleep Apnea ◽  
Case Report ◽  
Sleep Apnea ◽  
Fluid Collection ◽  
Clinical Signs ◽  
Oral Intake ◽  
Retropharyngeal Abscess ◽  
High Grade Fever ◽  
Neck Stiffness ◽  
Obstructive Sleep

Retropharyngeal abscess is a relatively uncommon midline deep neck space infection that extends from the base of the skull to the posterior mediastinum, situated between the buccopharyngeal and alar fascias. In this case report, we present a 14-month-old previously healthy female patient who had a high-grade fever for 7 days, associated with neck stiffness and restriction of neck movements to the right side. Her parents noticed decreased oral intake associated with dysphagia, muffled quality of voice, and obstructive sleep apnea. However, the patient had no clinical signs of mechanical obstruction on examination. A contrast-enhanced computed tomography scan of the neck showed a large retropharyngeal septated fluid collection measuring 8 × 3 × 6 cm, which was categorized as a large retropharyngeal abscess that was complicated by descending mediastinitis. The patient was taken immediately to the operation theater for incision and drainage under general anesthesia, after which she was started on intravenous antibiotics.

scholarly journals Occipitalization of atlas - a case report

2016 ◽  
Vol 05 (02) ◽  
pp. 107-109
Author(s):  
Saranya Deb Barma ◽  
Gunamani Rabba ◽  
Kunjalal Talukdar
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Clinical Practice ◽  
Undergraduate Students ◽  
Neurological Complications ◽  
Occipital Bone ◽  
Clinical Implications ◽  
Short Neck ◽  
Neck Movement ◽  
Orthopaedic Surgeons

AbstractThe atlas vertebra articulates with the occipital bone of the skull by a pair of sunovial joints. Occipitalization is a congenital fusion of the atlas to the base of the occiput which reduces the foramen mangnum dimension leading to neurological complications due to compression of spinal cord. Individuals with occipitalization of the atlas may have low hairline, torticollis, restricted neck movement and abnormal short neck. During routine osteology demonstration class for undergraduate students, a total atlanto-occipital fusion was seen. The clinical implications of altanto-occipitalization may be beneficial for neurosurgeons, neurologists, orthopaedic surgeons and radiologists in day-to-day clinical practice.

Acute non-tuberculous retropharyngeal abscess in an adult. A case report and review of the literature

1997 ◽  
Vol 111 (2) ◽  
pp. 169-171 ◽  
Author(s):  
A. Karkanevatos ◽  
N. J. P. Beasley ◽  
A. C. Swift
Keyword(s):  
Staphylococcus Aureus ◽  
Case Report ◽  
Cervical Spine ◽  
Neck Pain ◽  
Retropharyngeal Abscess ◽  
Review Of The Literature

AbstractRetropharyngeal abscesses in adults are very rare and usually secondary to chronic tuberculous cervical spine osteomyelitis. We report a case of Staphylococcus aureus septicaemia with multifocal abscesses and osteomyelitis of the cervical spine causing a retropharyngeal abscess. This presented as neck pain and dysphagia following a fall. In addition, we have reviewed related cases.

scholarly journals Retropharyngeal abscess rare presentation in a 11 months old infant: a case report

2017 ◽  
Vol 3 (2) ◽  
pp. 443
Author(s):  
Roa T. Halawani ◽  
Bayan Aboshargyah
Keyword(s):  
Case Report ◽  
Young Children ◽  
Unusual Presentation ◽  
Retropharyngeal Abscess ◽  
Deep Neck Infection ◽  
Rare Presentation ◽  
Neck Infection

<p class="abstract">Retropharyngeal abscess (RPA) is a rare deep neck infection that usually affects young children. It is the most common deep neck infection in children. We would like to present this case because of unusual presentation at this age<span lang="EN-IN">.</span></p>

scholarly journals Grisel’s syndrome: A rare cause of torticollis with subluxation of the atlantoaxial joint secondary to a retropharyngeal abscess

2020 ◽  
Vol 22 ◽  
pp. 100872
Author(s):  
Michael D. White ◽  
David R. Hansberry ◽  
Arpan V. Prabhu ◽  
Nitin Agarwal ◽  
Vinay Kandula
Keyword(s):  
Retropharyngeal Abscess ◽  
Atlantoaxial Joint ◽  
Grisel’S Syndrome

scholarly journals Acute neck pain caused by septic arthritis of the lateral atlantoaxial joint with subluxation: a case report

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Takashi Kobayashi ◽  
Naohisa Miyakoshi ◽  
Eiji Abe ◽  
Toshiki Abe ◽  
Kazuma Kikuchi ◽  
...  
Keyword(s):  
Case Report ◽  
Neck Pain ◽  
Septic Arthritis ◽  
Atlantoaxial Joint ◽  
Acute Neck Pain

scholarly journals Glossopharyngeal and Hypoglossal Nerve Paralysis Secondary to Prevertebral Phlegmon

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Ryunosuke Fukushi ◽  
Izaya Ogon ◽  
Yoshinori Terashima ◽  
Hiroyuki Takashima ◽  
Tsutomu Oshigiri ◽  
...  
Keyword(s):  
Neck Pain ◽  
Hypoglossal Nerve ◽  
Facet Joint ◽  
Retropharyngeal Abscess ◽  
Cervical Region ◽  
Atlantoaxial Joint ◽  
Nerve Paralysis ◽  
Pyogenic Spondylitis ◽  
Signal Changes ◽  
Posterior Pharynx

A 50-year-old man presented to the clinic with severe neck pain, fever, and difficulty breathing and was subsequently admitted to the local orthopedics department with possible retropharyngeal abscess and pyogenic spondylitis. Antibiotic therapy was initiated; however, due to poor oxygenation, he was referred and transferred to our department and admitted. Magnetic resonance imaging showed signal changes at the left C1/2 lateral atlantoaxial joint, posterior pharynx, longus colli muscle, carotid space, and medial deep cervical region, predominantly on the left side. In addition, despite lymph node enlargement from the posterior pharynx to the deep cervical region, there was no abscess formation. There were no signs of a space-occupying lesion or signal changes in the jugular foramen. One day postadmission, the patient’s temperature had risen to 39.1°C and his SpO2 had fallen. His neck pain had also worsened, and emergency surgery was decided. Preoperatively, we suspected retropharyngeal abscess and pyogenic spondylitis. On day 13 postadmission, the patient exhibited dysphagia, deviated tongue protrusion, and the curtain sign. Glossopharyngeal and hypoglossal nerve paralysis were diagnosed. The patient’s swallowing functions recovered and he was discharged on day 36. We experienced a case of glossopharyngeal and hypoglossal nerve paralysis secondary to pyogenic cervical facet joint arthritis.

La Maladie de Grisel: Spontaneous Atlantoaxial Subluxation

2001 ◽  
Vol 38 (3) ◽  
pp. 268-270 ◽  
Author(s):  
M. F. Meek ◽  
R. A. E. C. Hermens ◽  
P. H. Robinson
Keyword(s):  
Oral Cavity ◽  
Neck Pain ◽  
Rare Complication ◽  
Atlantoaxial Subluxation ◽  
Unusual Complication ◽  
Additional Investigation ◽  
Grisel’S Syndrome

Objective: “La maladie de Grisel” (Grisel's syndrome) is a spontaneously occurring atlantoaxial subluxation with torticollis. We present a case of atlantoaxial subluxation occurring in a 20-year period of pharyngoplasty surgery. The occurrence of a “spontaneous” atlantoaxial subluxation after oral cavity or pharynx operations is rare. Because some neck pain and stiffness are commonly seen after these kinds of operations, we would like to draw attention to this unusual complication. Symptoms associated with a torticollis after an operation in the oral cavity or pharynx requires additional investigation to exclude this rare complication. A review of the available literature concerning etiology and treatment of la maladie de Grisel is presented.

scholarly journals Prolonged Survival in Patients with Metastatic HER2-Positive Inflammatory Breast Cancer: A Case Report and Review of the Literature

2021 ◽  
pp. 1071-1079
Author(s):  
Jennifer Y. Ge ◽  
Beth Overmoyer
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Inflammatory Breast Cancer ◽  
Targeted Therapies ◽  
De Novo ◽  
Review Of The Literature ◽  
Her2 Positive ◽  
Rare Type ◽  
Favorable Prognosis ◽  
Poor Outcomes

Inflammatory breast cancer (IBC) is a rare type of breast cancer that is associated with poor outcomes compared with non-IBC. Overexpression of HER2 is enriched in IBC, and those with HER2-positive disease have a relatively favorable prognosis, with improved survival over the last two decades driven by the advent of novel targeted therapies. Here, we present two patients who have survived for over 10 years after being diagnosed with de novo metastatic HER2-positive IBC. We review the data for the treatments available for metastatic HER2-positive IBC and the evolving treatment recommendations for this disease.

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