| Non-traumatic atlanto-axial subluxation: Grisel's syndrome. Two case reports. | |
| | |
MedLine Citation:
|
PMID: 19398863 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Two 8-year-old boys presented with complaints of torticollis and pain on neck turning. Both patients had a history of throat infection. Radiography and computed tomography demonstrated atlanto-axial subluxation. The patients were treated under diagnoses of Grisel's syndrome, unilateral or bilateral subluxation of the atlas on the axis associated with infection in the head or neck. Both patients were treated conservatively with bed rest, muscle relaxants, non-steroid anti-inflammatory agents, and immobilization with a soft cervical collar and cervical halter traction. The torticollis had resolved and reduction of atlanto-axial subluxation was confirmed within 2 weeks in both patients. Early diagnosis of Grisel's syndrome with appropriate antibiotics and a cervical collar, with halter traction if necessary, can achieve good outcome. Surgical treatment for the reduction of atlanto-axial subluxation should be reserved for persistent or recurrent cases. |
| | |
Authors:
|
Melih Cekinmez; Kadir Tufan; Orhan Sen; Hakan Caner |
Related Documents
:
|
8378413 - Idiopathic unconjugated hyperbilirubinemia (gilbert's syndrome) and concurrent psychotr... 20511483 - Opsoclonus-myoclonus syndrome in patients with locked-in syndrome: a therapeutic portho... 6628153 - Adenocarcinoma of the rectum arising in a hamartomatous polyp in a patient with peutz-j... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Neurologia medico-chirurgica Volume: 49 ISSN: 1349-8029 ISO Abbreviation: Neurol. Med. Chir. (Tokyo) Publication Date: 2009 Apr |
Date Detail:
|
Created Date: 2009-04-28 Completed Date: 2009-07-14 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0400775 Medline TA: Neurol Med Chir (Tokyo) Country: Japan |
Other Details:
|
Languages: eng Pagination: 172-4 Citation Subset: IM |
Affiliation:
|
Department of Neurosurgery, Baskent University Faculty of Medicine, Adana, Turkey. melihcekinmez@yahoo.com. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anti-Inflammatory Agents, Non-Steroidal
/
therapeutic use Atlanto-Axial Joint / pathology*, physiopathology, radiography* Braces Child Dislocations / etiology, pathology, therapy Humans Joint Diseases / etiology, pathology*, therapy Ligaments / pathology*, physiopathology Magnetic Resonance Imaging Male Muscle Relaxants, Central / therapeutic use Neck Muscles / physiopathology* Neck Pain / etiology Pharyngitis / complications Range of Motion, Articular / physiology Syndrome Torticollis / complications* Traction Treatment Outcome |
| Chemical | |
Reg. No./Substance:
|
0/Anti-Inflammatory Agents, Non-Steroidal; 0/Muscle Relaxants, Central |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Pleural malignant mesothelioma causing cord infiltration through the nerve root. Case report.
Next Document: Change of patient position using a transportation board during lumboperitoneal shunting. Technical n...