A Case of Grisel Syndrome Showing No Underlying Laxity of the Atlanto-axial Joint
Annals of Rehabilitation Medicine
; : 511-515, 2017.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-49259
Biblioteca responsável:
WPRO
ABSTRACT
Grisel syndrome is a rare, non-traumatic atlanto-axial subluxation associated with an inflammatory or infectious process in the upper neck. According to the two-hit hypothesis, which is widely accepted for the pathogenesis of Grisel syndrome, preexisting ligamentous laxity of the atlanto-axial joint is regarded as the first hit. An inflammatory or infectious process of the atlanto-axial joint acts as the second hit, resulting in non-traumatic atlanto-axial subluxation. We report on a 6-year-old girl with atlanto-axial subluxation following retropharyngeal and cervical lymphadenitis. She was diagnosed with Grisel syndrome, for which an initial computed tomography did not show any preexisting ligamentous laxity of the atlanto-axial joint. A literature review found only 4 case reports on Grisel syndrome with an initially normal atlanto-axial joint. The present case offers some evidence that a single hit, such as inflammatory changes in the atlanto-axial joint, might cause Grisel syndrome, even without underlying ligamentous laxity.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Articulação Atlantoaxial
/
Torcicolo
/
Instabilidade Articular
/
Ligamentos
/
Linfadenite
/
Pescoço
Limite:
Criança
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Annals of Rehabilitation Medicine
Ano de publicação:
2017
Tipo de documento:
Artigo