| The Importance of Early Diagnosis and Appropriate Treatment in Grisel's Syndrome: Report of Two Cases. | |
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MedLine Citation:
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PMID: 22194139 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Grisel's syndrome designates subluxation of atlanto-axial joint unrelated to trauma or bone disease. Atlanto-axial subluxation is seen after the upper neck inflammatory processes of head and neck region. Moreover, this rare clinical entity has been observed after various otolaryngological surgical approaches including adenoidectomy, tonsillectomy and mastoidectomy. An 8-year-old girl and 14 year-old boy presented with complaints of painful torticollis. The first patient was operated on at another health center due to adenoid hypertrophy. She was referred to our clinic on the postoperative 5th day with painful torticollis. The diagnosis was established by computerized tomography and three-dimensional reconstructions. The second patient had a history of throat infection. Radiological investigation demonstrated atlantoaxial subluxation. The patients were treated with external fixation, antibiotic therapy, muscle relaxants, and anti-inflammatory therapy. Early diagnosis and appropriate treatment resulted in a good outcome in our patients. Grisel's syndrome must be considered in the differential diagnosis in children with painful torticollis associated with upper respiratory tract infection and after various otolaryngological surgical procedures. We report two cases of Grisel's syndrome which emphasize on the importance of early diagnosis for appropriate and successful treatment. |
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Authors:
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Ahmet Dagtekin; Engin Kara; Yusuf Vayisoglu; Aslihan Koseoglu; Emel Avci; Derya Talas; Celal Bagdatoglu |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Turkish neurosurgery Volume: 21 ISSN: 1019-5149 ISO Abbreviation: Turk Neurosurg Publication Date: 2011 |
Date Detail:
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Created Date: 2011-12-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9423821 Medline TA: Turk Neurosurg Country: Turkey |
Other Details:
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Languages: eng Pagination: 680-4 Citation Subset: IM |
Affiliation:
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Mersin University, Faculty of Medicine, Department of Neurosurgery, Mersin, Turkey. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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