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[Grisel's syndrome causing torticollis in children]
Ole Møller Hansen1, Olga Hogreffe Nikitina, Elke Longin
1omhansen@gmail.com.
Ugeskrift for Laeger
|September 10, 2019
Summary
Grisel's syndrome, a form of atlantoaxial subluxation, should be considered in children with torticollis. This rare condition follows ENT infections or operations and can cause neck issues and neurological symptoms.
Area of Science:
- Pediatric Neurology
- Orthopedic Surgery
- Radiology
Background:
- Grisel's syndrome, or atlantoaxial subluxation, is a rare complication following ear, nose, and throat (ENT) infections or operations.
- It typically presents in children with a characteristic presentation of neck stiffness, rotation, and flexion.
Observation:
- A case report details an eight-year-old boy with CT-confirmed findings suggestive of Grisel's syndrome.
- The patient presented with torticollis, prompting consideration of this differential diagnosis.
Findings:
- The syndrome involves non-traumatic atlantoaxial joint subluxation.
- Radiographic evidence is crucial for diagnosis, alongside clinical presentation.
- Potential complications include neurological deficits and spinal cord compression.
Implications:
- Early recognition of Grisel's syndrome is vital for timely management and preventing severe neurological sequelae.
- Treatment strategies vary, ranging from conservative measures like immobilization to surgical intervention in severe cases.
- This case highlights the importance of including Grisel's syndrome in the differential diagnosis for pediatric torticollis.