Grisel Syndrome: Pathophysiological Evidence from Magnetic Resonance Imaging Findings
Annals of Rehabilitation Medicine
; : 713-716, 2013.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-114390
Responsible library:
WPRO
ABSTRACT
Grisel syndrome is a condition of uncertain etiology characterized by a non-traumatic atlantoaxial subluxation following an infection in the head and neck region. Although first described in 1830, the exact pathophysiology of Grisel syndrome remains unclear. We present a case of atlantoaxial subluxation after acute lymphadenitis diagnosed with a dynamic computed tomography (CT) and magnetic resonance imaging (MRI). A previously healthy 9-year-old male patient presented with torticollis of sudden onset. Dynamic CT and MR imaging showed rotary atlantoaxial subluxation and inflammation surrounding the cervical spinal ligaments. A follow-up MRI of the cervical spine, taken 3 weeks after the onset of symptoms, showed a complete resolution of subluxation and inflammation surrounding the cervical spinal ligaments. In this case report, we support the hypothesis that an inflammation-induced laxity of the cervical ligaments is the pathologic key to Grisel syndrome using radiologic findings.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Atlanto-Axial Joint
/
Spine
/
Torticollis
/
Magnetic Resonance Imaging
/
Follow-Up Studies
/
Magnets
/
Head
/
Inflammation
/
Ligaments
/
Lymphadenitis
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Aspects:
Implementation research
Limits:
Child
/
Humans
/
Male
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2013
Document type:
Article