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Related Experiment Video

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Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

Portable Thermographic Screening for Detection of Acute Wallenberg's Syndrome

Published on: September 19, 2019

Grisel syndrome: a delayed presentation in an asymptomatic patient.

J Doshi¹, S Anari, I Zammit-Maempel

¹Department of Otolaryngology, Freeman Hospital, Newcastle Upon Tyne, UK. jayeshdoshi@hotmail.com

The Journal of Laryngology and Otology

|February 14, 2007

Summary

Grisel syndrome, a rare condition causing atlanto-axial subluxation after head/neck infections, can occur in adults. This case highlights the need for imaging follow-up in skull base infection patients.

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Area of Science:

Otolaryngology
Neurosurgery
Radiology

Background:

Grisel syndrome is a rare non-traumatic spinal disorder characterized by atlanto-axial subluxation.
It typically follows an inflammatory process in the head and neck region, commonly seen in children.

Observation:

A case of an asymptomatic 78-year-old man with incidentally discovered atlanto-axial subluxation is presented.
The finding was noted on a routine computed tomography scan three months after successful treatment of a skull base infection.

Findings:

This case expands the known demographic of Grisel syndrome to include elderly, asymptomatic individuals.
It demonstrates that atlanto-axial subluxation can be an incidental finding long after primary infection treatment.

Implications:

The findings underscore the importance of diligent follow-up imaging in patients treated for skull base infections.
Routine imaging is crucial for detecting potential complications like atlanto-axial subluxation, even in clinically resolved cases.