Grisel's syndrome: An unusual cause of Torticollis

Ortiz, Gerardo L; Pratts, Ivette; Ramos, Edwardo

doi:10.3233/prm-130253

Cited by 18 publications

(21 citation statements)

References 14 publications

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“…2 Head and neck infections that have been reported preceding GS include pharyngitis, tonsillitis, infectious mononucleosis, and mastoiditis. [3][4][5][6] GS has also been reported after tonsillectomy and adenoidectomy. [7][8][9] The majority of cases present in children aged 5 to 12 years old 2,10-12 and can mimic other diagnoses such as meningitis, retropharyngeal abscess, painful lymphadenopathy, or trauma.…”

Section: Discussionmentioning

confidence: 95%

More Than a Pain in the Neck: An Unusual Case of Persistent Neck Stiffness in a 10-Month-Old

Tam

Lee

Stover

2019

Clin Pediatr (Phila)

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Section: Discussionmentioning

confidence: 95%

More Than a Pain in the Neck: An Unusual Case of Persistent Neck Stiffness in a 10-Month-Old

Tam

Lee

Stover

2019

Clin Pediatr (Phila)

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“…While Ortiz and colleagues opted for fusion surgery in a case with hemiparesis, Missori et al described successful conservative therapy in a case presenting with transient visual loss due to vertebrobasilar compression. 26,30 There seems to be a general consensus toward conservative treatment in acute cases without neurological deficit and fusion in chronic cases, but these are not universal practices. 7,13,28,33,52 The duration of symptoms that define an "acute" or a "chronic" case varies among studies and makes direct comparisons challenging.…”

Section: Selection Of Patients For Nonsurgical Reductionmentioning

confidence: 99%

“…Prompt recognition and diagnosis of AARF is therefore critical, and neurosurgical consultation for all children presenting with torticollis has been recommended. 30…”

Section: Effect Of Symptom Duration Before Initial Intervention On Outcomesmentioning

confidence: 99%

Systematic review of the nonsurgical management of atlantoaxial rotatory fixation in childhood

Sae-Huang

Borg

Hill

2021

Journal of Neurosurgery: Pediatrics

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OBJECTIVEAtlantoaxial rotatory fixation (AARF) is an acquired fixed abnormality of C1–2 joint rotation associated with torticollis in childhood. If the condition is left uncorrected, patients are at risk for developing C1–2 fusion with permanent limitation in the cervical range of movement, cosmetic deformity, and impact on quality of life. The management of AARF and the modality of nonsurgical treatment are poorly defined in both primary care and specialized care settings, and the optimal strategy is not clear. This systematic review aims to examine the available evidence to answer key questions relating to the nonsurgical management of AARF.METHODSA systematic review was performed using the following databases: PubMed, MEDLINE, Healthcare Management Information Consortium (HMIC), EMCare, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), British Nursing Index (BNI), and Allied and Complementary Medicine Database (AMED). Search criteria were created and checked independently among the authors. All articles with a radiological diagnosis of AARF and primary outcome data that met the study inclusion criteria were included and analyzed by the authors.RESULTSSearch results did not yield any level I evidence such as a meta-analysis or randomized controlled trial. The initial search yielded 724 articles, 228 of which were screened following application of the core exclusion criteria. A total of 37 studies met the full criteria for inclusion in this review, consisting of 4 prospective studies and 33 retrospective case reviews. No articles directly compared outcomes between modalities of nonsurgical management. Six studies compared the outcome of AARF based on duration of symptoms before initiation of treatment. Comparative analysis of studies was hindered by the wide variety of treatment modalities described and the heterogeneity of outcome data.CONCLUSIONSThe authors did not identify any level I evidence comparing different nonsurgical management approaches for AARF. There were few prospective studies, and most studies were uncontrolled, nonrandomized case series. Favorable outcomes were often reported regardless of treatment methods, with early treatment of AARF tending to yield better outcomes independent of the treatment modality. There is a lack of high-quality data, and further research is required to determine the optimal nonsurgical treatment strategy.

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“…However, surgical invasiveness and relatively high recurrence rate [ 9 , 10 ] were of concern in these treatment algorithms. Hence, even for chronic AARF, several studies have reported the efficacy of conservative treatments to reduce the invasiveness of the treatment, including rehabilitation [ 12 ], simple traction and bracing [ 13 ], halter traction and bracing [ 14 , 15 , 16 , 17 ], and closed manipulation under general anesthesia followed by external fixation [ 18 , 19 , 20 , 21 , 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Osseous Fusion after Remodeling Therapy for Chronic Atlantoaxial Rotatory Fixation and Recovery Mechanism of Rotatory Range of Motion of the Cervical Spine

Kitamura

Ishii

Nagoshi

et al. 2022

JCM

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We aimed to investigate the risk factors of spontaneous osseous fusion (SOF) of the atlantoaxial joint after closed reduction under general anesthesia followed by halo fixation (remodeling therapy) for chronic atlantoaxial rotatory fixation, and to elucidate the recovery mechanism of the rotatory range of motion (ROM) after halo removal. Twelve patients who underwent remodeling therapy were retrospectively reviewed. Five patients with SOF were categorized as the fusion group and seven patients without SOF as the non-fusion group. Three dimensional CT was used to detect direct osseous contact (DOC) of facet joints before and during halo fixation, while dynamic CT at neutral and maximally rotated head positions was performed to measure rotatory ROM after halo removal. The duration from onset to initial visit was significantly longer (3.2 vs. 5.7 months, p = 0.04), incidence of DOC during halo fixation was higher (0/7 [0%] vs. 4/5 [80%], p = 0.004), and segmental rotatory ROM of Occiput/C1 (Oc/C1) at final follow-up was larger (9.8 vs. 20.1 degrees, p = 0.003) in the fusion group. Long duration from the onset to the initial visit might induce irreversible damage to the articular surface of the affected facet, which was confirmed as DOC during halo fixation and resulted in SOF. Long duration from the onset to the initial visit and DOC during halo fixation could be used to suggest the risk for SOF. Nonetheless, rotatory ROM of Oc/C1 increased to compensate for SOF.

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Grisel's syndrome: An unusual cause of Torticollis

Cited by 18 publications

References 14 publications

More Than a Pain in the Neck: An Unusual Case of Persistent Neck Stiffness in a 10-Month-Old

More Than a Pain in the Neck: An Unusual Case of Persistent Neck Stiffness in a 10-Month-Old

Systematic review of the nonsurgical management of atlantoaxial rotatory fixation in childhood

Spontaneous Osseous Fusion after Remodeling Therapy for Chronic Atlantoaxial Rotatory Fixation and Recovery Mechanism of Rotatory Range of Motion of the Cervical Spine

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