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Related Experiment Videos

[Grisel syndrome--a trauma surgery rarity].

P Kasten1, J Zeichen, T Gösling

  • 1Abteilung für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neubergstrasse 1, 30625 Hannover. Philip.Kasten@gmx.de

Der Unfallchirurg
|July 23, 2002
PubMed
Summary

Grisel's syndrome, a rare atlanto-axial subluxation, can occur after infections or surgery. This case highlights a pediatric patient treated successfully with repositioning and a Halofixateur.

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Area of Science:

  • Orthopedics
  • Pediatric Surgery
  • Neurology

Background:

  • Atlanto-axial fixed subluxation, known as Grisel's syndrome, is a rare complication.
  • It often follows inflammatory conditions in the upper neck or head and neck surgeries.

Observation:

  • A 6-year-old patient presented with Grisel's syndrome post-upper respiratory infection.
  • Radiographic imaging (X-rays and CT scans) confirmed fixed C1 and C2 subluxation.

Findings:

  • The pediatric patient's fixed atlanto-axial subluxation was successfully treated.
  • Treatment involved manual repositioning and external fixation using a Halofixateur.

Implications:

  • This case underscores the importance of recognizing Grisel's syndrome in pediatric patients with neck pain or stiffness after infection.

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  • Early diagnosis and appropriate management, including surgical stabilization, are crucial for favorable outcomes.
  • Further research into the pathogenesis and optimal treatment strategies for this rare condition is warranted.