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Grisel syndrome presenting with vertical atlantoaxial subluxation in an adolescent patient
Hiroaki Matsumoto1, Yasunori Yoshida1, Ikuya Yamaura1
1Department of Neurosurgery, Cerebrovascular Research Institute, Yoshida Hospital, Hyogo, Japan.
Context:
A previously healthy 17-year-old female developed tetraplegia 2 weeks after influenza infection.
Findings:
Imaging revealed vertical atlantoaxial subluxation with spinal cord compression. Conservative treatment failed; however, C1-C2 posterior fixation immediately improved symptoms.
Conclusion/Clinical Relevance:
Early surgery should be considered when conservative treatment is ineffective in adolescent Grisel syndrome.
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