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Grisel syndrome: a delayed presentation in an asymptomatic patient

Published online by Cambridge University Press:  13 February 2007

J Doshi ,
S Anari ,
I Zammit-Maempel  and
V Paleri
J Doshi*
Affiliation:
Department of Otolaryngology, Freeman Hospital, Newcastle Upon Tyne, UK.
S Anari
Affiliation:
Department of Otolaryngology, Freeman Hospital, Newcastle Upon Tyne, UK.
I Zammit-Maempel
Affiliation:
Department of Otolaryngology, Freeman Hospital, Newcastle Upon Tyne, UK.
V Paleri
Affiliation:
Department of Otolaryngology, Freeman Hospital, Newcastle Upon Tyne, UK.
*
Address for correspondence: Mr Jayesh Doshi, Apartment 20, Adderstone Court, 17 Adderstone Crescent, Jesmond, Newcastle upon Tyne NE2 2EA, UK. Fax: 01706 646734 E-mail: jayeshdoshi@hotmail.com
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Abstract

Grisel syndrome is a rare condition characterised by atlanto-axial subluxation following an inflammatory process in the head and neck region. It occurs more commonly in children and usually presents with cervical pain and torticollis, in addition to symptoms of the primary infection. We present the case of an asymptomatic 78-year-old man who was incidentally found to have atlanto-axial subluxation on a routine follow-up computed tomography scan, three months following successful treatment of a skull base infection. This case emphasises the importance of appropriate follow-up imaging for patients with skull base infections, even if they respond clinically to medical treatment.

Keywords

Atlanto-Axial JointSkull BaseInfection
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 8 , August 2007 , pp. 800 - 802
Copyright
Copyright © JLO (1984) Limited 2007

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Footnotes

Presented as a poster at the 42nd South African ENT Congress, in conjunction with the South African Head and Neck Oncology Society, 8–11 October 2006, Cape Town, South Africa.

References

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