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Anesthetic issues and Difficult Airway Management in a Case of Grisel's Syndrome
Ajit Gupta1, Jay Prakash1, Pawan Kumar2
1Department of Anesthesiology and Critical Care, IGIMS, Patna, Bihar, India.
Abstract:
Grisel's syndrome is a nontraumatic subluxation of atlanto-axial joint which is associated with inflammatory conditions of head and neck and occurs primarily in children. Anesthetic management is such cases constitute a multitude of challenges, especially related to the airway management. We presented here a case of 16-year-old male child weighing 23 kg, came to our hospital for the treatment of torticollis who was previously treated with intravenous antibiotics for rhinopharyngitis and diagnosed as a case of Grisel's syndrome. The child was operated on for unilateral resection of sternocleidomastoid muscle under general anesthesia. This case report pertains to the successful airway and anesthetic management in the background of difficult airway.
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