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Basilar impression as complication of Grisel's syndrome
Lasse Dührsen1, Tammam Abboud1, Lennart Viezens2
1Department of Neurosurgery University Medical Center Hamburg-Eppendorf Hamburg Germany.
Clinical Case Reports
|January 30, 2018
Summary
Grisel's syndrome is a rare condition. This case report details an unusual Grisel's syndrome presentation with basilar impression, emphasizing vigilant monitoring.
Area of Science:
- Neurology
- Rheumatology
- Pediatrics
Background:
- Grisel's syndrome is a rare, non-traumatic atlantoaxial subluxation.
- It typically arises from an infection or inflammation of the head and neck region.
- This condition involves the laxity of the transverse atlantal ligament.
Observation:
- A peculiar case of Grisel's syndrome with an unfavorable clinical course is presented.
- The patient developed a basilar impression, a rare complication.
- This highlights the need for thorough evaluation in seemingly uncomplicated cases.
Findings:
- The case illustrates an atypical progression of Grisel's syndrome.
- Basilar impression signifies significant bony changes at the skull base.
- Close monitoring is crucial for early detection of complications.
Implications:
- This case underscores the importance of sustained clinical and radiological surveillance in Grisel's syndrome.
- Early identification of complications like basilar impression can guide timely intervention.
- Physicians should maintain a high index of suspicion for potential adverse outcomes.