Grisel’s syndrome is a rare complication that is
characterized by non-traumatic atlantoaxial subluxation. It is most commonly seen in children after an
upper respiratory tract infection or neck surgery, such as an adenoidectomy,
tonsillectomy and mastoidectomy. Grisel’s Syndrome is characterized by
torticollis and a limited range of motion of the neck with pain. Here the
authors report a case of a Malian 5-year-old girl with Grisel’s syndrome
following tonsillectomy. The patient’s complaints were fully resolved after 2
weeks of conservative treatment.
References
[1]
Karkos, P.D., Benton, J., Leong, S.C., et al. (2007) Grisel’s Syndrome in Otolaryngology: A Systematic Review. International Journal of Pediatric Otorhinolaryngology, 71, 1823-1827.
[2]
Barcelos, A.C.E.S., Patriota, G.C. and Netto, A.U. (2014) Nontraumatic Atlantoaxial Rotatory Subluxation: Grisel Syndrome. Case Report and Literature Review. Global Spine Journal, 4, 179-186. https://doi.org/10.1055/s-0033-1363936
[3]
Neal, K.M. and Mohamed, A.S. (2015) Atlantoaxial Rotatory Subluxation in Children. Journal of the American Academy of Orthopaedic Surgeons, 23, 382-392.
https://doi.org/10.5435/JAAOS-D-14-00115
[4]
Grisel, P. (1930) Enucléation de l’atlas et torticollis naso-pharyngien. Presse Medicale, 38, 50-54.
[5]
Ombregt, L. (2013) Applied Anatomy of the Cervical Spine. In: A System of Orthopaedic Medicine, 3rd Edition, Churchill-Livingstone Publishing, London, e1-e12.
https://doi.org/10.1016/B978-0-7020-3145-8.00060-0
[6]
Fernández Cornejo, V.J., Martínez-Lage, J.F., Piqueras, C., Gelabert, A. and Poza, M. (2003) Inflammatory Atlanto-Axial Subluxation (Grisel’s Syndrome) in Children: Clinical Diagnosis and Management. Child’s Nervous System, 19, 342-347.
https://doi.org/10.1007/s00381-003-0749-6
[7]
Osiro, S., Tiwari, K.J., Matusz, P., Gielecki, J., Tubbs, R.S. and Loukas, M. (2012) Grisel’s Syndrome: A Comprehensive Review with Focus on Pathogenesis, Natural History, and Current Treatment Options. Child’s Nervous System, 28, 821-825.
https://doi.org/10.1007/s00381-012-1706-z
[8]
Battiata, A.P. and Pazos, G. (2004) Grisel’s Syndrome: The Two-Hit Hypothesis: A Case Report and Literature Review. Ear, Nose & Throat Journal, 83, 553-555.
[9]
Fielding, J.W. and Hawkins, R.J. (1977) Atlanto-Axial Rotatory Fixation. (Fixed Rotatory Subluxation of the Atlanto-Axial Joint). The Journal of Bone & Joint Surgery, 59, 37-44. https://doi.org/10.2106/00004623-197759010-00005
[10]
Wilson, M.J., Michele, A.A. and Jacobson, E.W. (1940) Spontaneous Dislocation of the Atlanto-Axial Articulation, including a Report of a Case with Quadriplegia. The Journal of Bone & Joint Surgery, 22, 698-707.
[11]
Ishii, K., Chiba, K., Maruiwa, H., Nakamura, M., Matsumoto, M. and Toyama, Y. (2006) Pathognomonic Radiological Signs for Predicting Prognosis in Patients with Chronic Atlantoaxial Rotatory Fixation. Journal of Neurosurgery: Spine, 5, 385-391.
https://doi.org/10.3171/spi.2006.5.5.385
[12]
Pang, D. and Li, V. (2005) Atlantoaxial Rotatory Fixation: Part 2—New Diagnostic Paradigm and a New Classification Based on Motion Analysis Using Computed Tomographic Imaging. Neurosurgery, 57, 941-953.
https://doi.org/10.1227/01.NEU.0000181309.13211.3A
[13]
Samartzis, D., Shen, F.H., Herman, J. and Mardjetko, S.M. (2010) Atlantoaxial Rotatory Fixation in the Setting of Associated Congenital Malformations: A Modified Classification System. Spine (Phila Pa 1976), 35, E119-E127.
https://doi.org/10.1097/BRS.0b013e3181c9f957
[14]
Crossman, J.E., David, K., Hayward, R., et al. (2003) Open Reduction of Pediatric Atlantoaxial Rotatory Fixation: Long Term Outcome Study with Functional Measurements. Journal of Neurosurgery: Spine, 100, 235-240.
https://doi.org/10.3171/spi.2004.100.3.0235
[15]
Deichmueller, C. and Welkoborsky, H.J. (2010) Grisel’s Syndrome—A Rare Complication Following “Small” Operations and Infections in the ENT Region. European Archives of Oto-Rhino-Laryngology, 267, 1467-1473.
https://doi.org/10.1007/s00405-010-1241-z