Grisel syndrome: prompt diagnosis, prompt management equals happy ending
Grisel syndrome is a rare cause of torticollis resulting from subluxation of the atlanto-axial joint (C1-C2 vertebra) joint from surrounding soft tissue inflammation. Atlanto-axial joint injuries typically occur in the setting of trauma. However, here we report a case of a non-traumatic cause of atl...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
IIUM
2018
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/86243/1/854-Manuscript-2233-1-10-20200203.pdf http://irep.iium.edu.my/86243/ https://journals.iium.edu.my/kom/index.php/imjm/article/view/854 |
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| Institution: | Universiti Islam Antarabangsa Malaysia |
| Language: | English |
| Summary: | Grisel syndrome is a rare cause of torticollis resulting from subluxation of the atlanto-axial joint (C1-C2 vertebra) joint from surrounding soft tissue inflammation. Atlanto-axial joint injuries typically occur in the setting of trauma. However, here we report a case of a non-traumatic cause of atlanto-axial joint subluxation in a child. The child initially presented to our centre with 5 days history of torticollis preceded by a few days of upper respiratory tract symptoms. The initial radiograph of the cervical spine did not demonstrate any obvious abnormality. However, due to a high index of suspicion by the attending physician, a CT of the cervical spine was performed, which indeed revealed an atlanto-axial subluxation. The patient was put on cervical traction for a few days, and discharged well with soft collar and analgesia. |
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