Case Report of Atlantoaxial Rotatory Fixation after Cochlear Implantation

Autor: Tetsuya Tono, Takumi Okuda, Yutaka Hanamure, Keiji Matsuda, Takahiro Nakashima, Minoru Takaki, Tamon Hayashi
Rok vydání: 2015
Předmět:
Zdroj: Case Reports in Otolaryngology
Case Reports in Otolaryngology, Vol 2016 (2016)
ISSN: 2090-6765
Popis: Atlantoaxial rotatory fixation (AARF) is a relatively rare condition and is mainly seen in children. We report of a 7-year-old girl suffering from AARF after cochlear implantation (CI). Fortunately, early diagnosis based on three-dimensional computed tomography (3DCT) was made, and the patient was cured with conservative therapy. Nontraumatic AARF, which is also known as Grisel’s syndrome and occurs subsequent to neck infections or ear, nose, and throat (ENT) surgery, represents only a small fraction of AARF cases. Two factors are mainly thought to contribute to the pathogenesis of the condition estimated, namely, (i) neck immaturity in children and (ii) infiltration by inflammatory mediators around the upper neck joint, easily permitted by the neck vasculature. AARF should be suspected in case of torticollis developing after ENT surgery.
Databáze: OpenAIRE