A Case of Grisel Syndrome Showing No Underlying Laxity of the Atlanto-axial Joint
| Autor: | Shin-Young Yim, Eun Ji Park, Ah-Reum Ahn, Yul-Hyun Park |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Ligamentous laxity Computed tomography Case Report 03 medical and health sciences 0302 clinical medicine Second hit medicine 030223 otorhinolaryngology Torticollis Subluxation medicine.diagnostic_test Atlanto-axial joint business.industry Rehabilitation Cervical lymphadenitis Grisel syndrome medicine.disease Surgery body regions medicine.anatomical_structure business 030217 neurology & neurosurgery Joint instability |
| Zdroj: | Annals of Rehabilitation Medicine |
| ISSN: | 2234-0645 |
| Popis: | Grisel syndrome is a rare, non-traumatic atlanto-axial subluxation associated with an inflammatory or infectious process in the upper neck. According to the two-hit hypothesis, which is widely accepted for the pathogenesis of Grisel syndrome, preexisting ligamentous laxity of the atlanto-axial joint is regarded as the first hit. An inflammatory or infectious process of the atlanto-axial joint acts as the second hit, resulting in non-traumatic atlanto-axial subluxation. We report on a 6-year-old girl with atlanto-axial subluxation following retropharyngeal and cervical lymphadenitis. She was diagnosed with Grisel syndrome, for which an initial computed tomography did not show any preexisting ligamentous laxity of the atlanto-axial joint. A literature review found only 4 case reports on Grisel syndrome with an initially normal atlanto-axial joint. The present case offers some evidence that a single hit, such as inflammatory changes in the atlanto-axial joint, might cause Grisel syndrome, even without underlying ligamentous laxity. |
| Databáze: | OpenAIRE |
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