Grisel's syndrome: A case report and review of the literature

Galer, Chad E.; Holbrook, Eric H.; Trêves, John S.; Leopold, Donald A.

doi:10.1016/j.ijporl.2005.03.046

Cited by 32 publications

(14 citation statements)

References 11 publications

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“…In a case report, Galer et al [9] presented a 3-year-old girl with torticollis following an episode of tonsillitis and through a CT study, revealed low density fluid collection in the prevertebral space superior and posterior to the left palatine tonsil in addition to the C1-C2 atlantoaxial subluxation. In that study, the one-month follow-up CT scan revealed a normal alignment of the cervical vertebrae and resolution of the fluid collection.…”

Section: Discussionmentioning

confidence: 99%

Grisel Syndrome: Pathophysiological Evidence from Magnetic Resonance Imaging Findings

Park

Lee

2013

Ann Rehabil Med

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Grisel syndrome is a condition of uncertain etiology characterized by a non-traumatic atlantoaxial subluxation following an infection in the head and neck region. Although first described in 1830, the exact pathophysiology of Grisel syndrome remains unclear. We present a case of atlantoaxial subluxation after acute lymphadenitis diagnosed with a dynamic computed tomography (CT) and magnetic resonance imaging (MRI). A previously healthy 9-year-old male patient presented with torticollis of sudden onset. Dynamic CT and MR imaging showed rotary atlantoaxial subluxation and inflammation surrounding the cervical spinal ligaments. A follow-up MRI of the cervical spine, taken 3 weeks after the onset of symptoms, showed a complete resolution of subluxation and inflammation surrounding the cervical spinal ligaments. In this case report, we support the hypothesis that an inflammation-induced laxity of the cervical ligaments is the pathologic key to Grisel syndrome using radiologic findings.

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Section: Discussionmentioning

confidence: 99%

Grisel Syndrome: Pathophysiological Evidence from Magnetic Resonance Imaging Findings

Park

Lee

2013

Ann Rehabil Med

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“…[1][2][3][4] These can be life-threatening if treatment is delayed or inadequate. In particular, air- • Peritonsillar abscess is a potentially life-threatening deep-neck infection in adults that may complicate acute tonsillitis.…”

Section: Discussionmentioning

confidence: 99%

Bilateral peritonsillar abscesses complicating acute tonsillitis

Lin¹,

Lee²

2011

Canadian Medical Association Journal

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“…The main strategy for management of acute bacterial tonsillitis is antibiotic therapy, adequate hydration and oral intake, and treatment of pain and fever. If the treatment is delayed or is inadequate, acute bacterial tonsillitis may lead to life-threatening complications associated with DNSI including peritonsillar (49%), retropharyngeal (22%), submandibular (14%), buccal (11%), parapharyngeal space (2%), and canine space (2%) infections [5][6][7][8][9]. Delayed diagnosis of such complications can lead to increased rates of hospitilization and morbidity.…”

Section: Introductionmentioning

confidence: 99%