Grisel’s syndrome – case report
Authors:
Kossuthová N. 1; Mejzlík J. 1,2; Zadrobílek K. 2,3; Dědková J. 4; Chrobok V. 1,2
Authors‘ workplace:
Klinika otorinolaryngologie a chirurgie hlavy a krku, FN Hradec Králové
1; Lékařská fakulta UK v Hradci Králové
2; Neurochirurgická klinika, FN Hradec Králové
3; Radiologická klinika, FN Hradec Králové
4
Published in:
Otorinolaryngol Foniatr, 70, 2021, No. 2, pp. 97-101.
Category:
Case Reports
doi:
https://doi.org/10.48095/ccorl202197
Overview
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
Sources
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Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)Article was published in
Otorhinolaryngology and Phoniatrics
2021 Issue 2
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