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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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