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Atlanto-axial subluxation (Grisel's syndrome) following otolaryngological diseases and procedures

Published online by Cambridge University Press:  29 June 2007

D. Samuel ,
D. M. Thomas ,
P. A. Tierney  and
K. S. Patel
D. Samuel
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, London, UK.
D. M. Thomas*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, London, UK.
P. A. Tierney
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, London, UK.
K. S. Patel
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, London, UK.
*
Mr D. M. Thomas, F.R.C.S., Department of ENT Surgery, St Mary's Hospital, Praed Street, London W2 1NY. Fax: 0171-725-1847.
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Abstract

Grisel's syndrome is a rare condition of uncertain aetiology characterized by atlanto-axial subluxation following an infection in the head and neck region. The condition most frequently affects children and characteristically presents in the post-operative period with cervical pain and torticollis. We describe three cases and discuss the aetiology and pathogenesis. A high index of suspicion may lead to early diagnosis in its natural history thereby preventing potentially serious complications.

Keywords

Grisel's syndromeAtlanto-axial jointTorticollis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 10 , October 1995 , pp. 1005 - 1009
Copyright
Copyright © JLO (1984) Limited 1995

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