Document Detail

Infection-related atlantoaxial subluxation in two adults: Grisel syndrome or not?
MedLine Citation:
PMID:  12545265     Owner:  NLM     Status:  MEDLINE    
Grisel's syndrome involves the subluxation of the atlanto-axial joint from inflammatory ligamantous laxity following an infectious process in the head or neck. It is a rare disease usually affecting children, but infrequent adult cases do occur. Today, due to the widened use of antibiotics and availability of MR imaging, some cases presenting with neck pain, resulting from the infectious inflammation of C1 and C2 but without pronounced subluxation, can be a challenging problem for most neurosurgeons. Several theories have been proposed to explain the pathogenesis of inflammatory subluxation. The primary treatment of Grisel's syndrome is medical. The underlying infectious organism must be isolated and appropriate antibiotics must be prescribed. The subluxation is reduced in holter or skeletal traction. This paper reports two cases of infection-related atlanto-axial subluxation in two adults. The literature on this subject is briefly reviewed.
H C Ugur; S Cağlar; A Unlu; A Erdem; Y Kanpolat
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta neurochirurgica     Volume:  145     ISSN:  0001-6268     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-01-24     Completed Date:  2003-05-14     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  69-72     Citation Subset:  IM    
The University of Ankara, Faculty of Medicine, Department of Neurosurgery, Turkey.
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MeSH Terms
Atlanto-Axial Joint / drug effects,  pathology*,  radiography*
Diagnosis, Differential
Dislocations / diagnosis,  etiology*,  therapy*
Infection / complications*,  diagnosis,  therapy*
Joint Instability / diagnosis,  etiology*,  therapy*
Magnetic Resonance Imaging
Tomography, X-Ray Computed

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