Grisel syndrome: prompt diagnosis, prompt management equals happy ending

Halim Lim, Aidi Aswadi and Abd. Aziz, Azian and Md Ralib @ Md Raghib, Ahmad Razali (2018) Grisel syndrome: prompt diagnosis, prompt management equals happy ending. IIUM Medical Journal Malaysia, 17 (Supplementary Issue no. 1). p. 89. ISSN 1823-4631 E-ISSN 2735-2285

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Abstract

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.

Item Type:	Article (Meeting Abstract)
Additional Information:	7724/86243
Subjects:	R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Radiology
Depositing User:	Dr Aidi Aswadi Halim Lim
Date Deposited:	14 Dec 2020 12:34
Last Modified:	14 Dec 2020 12:34
URI:	http://irep.iium.edu.my/id/eprint/86243

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