ArticleGlobal spine journal2014
Nontraumatic atlantoaxial rotatory subluxation: grisel syndrome. Case report and literature review.
Article in Global spine journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 48 citations in OpenAlex.
- Inflammatory Pediatric Grisel Syndrome Secondary to Acute Adenoiditis: A Rare Case Report and Review of Literature.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025Article
- Preoperative radiological indicators for prediction of difficult laryngoscopy in patients with atlantoaxial dislocation.Heliyon · 2024Article
- Review
- Successful Cases of Closed Reduction of Chronic Traumatic Atlantoaxial Rotatory Dislocation: A Report of Two Cases.Cureus · 2023Article
- Article
- A case of atlantoaxial instability following skull base osteomyelitis: Tips for diagnosis and management.Clinical case reports · 2022Article
- Surgical Treatment of Irreducible AcuteTraumatic Atlantoaxial Rotatory Subluxation in an Adult.Cureus · 2022Article
- C1-C2 Rotatory Subluxation in Adults "A Narrative Review".Diagnostics (Basel, Switzerland) · 2022Review
- Hyaluronic acid augmentation pharyngoplasty complicated by retropharyngeal abscess and grisel syndrome: Case report and literature review.Clinical case reports · 2022Article
- Surgical management of Grisel syndrome in the adult patient: illustrative case.Journal of neurosurgery. Case lessons · 2022Article
- Torticollis in an 8-year-old child due to Grisel's syndrome - A case report.Surgical neurology international · 2022Article
- Atlantoaxial rotatory dislocation: Surgical treatment in a pediatric patient cohort.Brain & spine · 2022Article
- Atlantoaxial Rotatory Fixation after Microtia Reconstruction Surgery.Plastic and reconstructive surgery. Global open · 2021Article
- Magnetic Resonance Imaging as the Primary Imaging Modality in Children Presenting with Inflammatory Nontraumatic Atlantoaxial Rotatory Subluxation.Children (Basel, Switzerland) · 2021Review
- Atlantoaxial rotatory subluxation/fixation and Grisel's syndrome in children: clinical and radiological prognostic factors.European journal of pediatrics · 2021Article
- Recurrent traumatic atlantoaxial rotatory subluxation: Case report.Annals of medicine and surgery (2012) · 2020Article
- Grisel's Syndrome in Children: Two Case Reports and Systematic Review of the Literature.Case reports in pediatrics · 2020Article
- Grisel Syndrome in Otolaryngology: A Case Series with Literature Review.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2019Article
- Interventional magnetic resonance imaging as a diagnostic and therapeutic method in treating acute pediatric atlantoaxial rotatory subluxation.Experimental and therapeutic medicine · 2019Article
- Grisel syndrome presenting as hemiplegia in a patient with multifocalMalawi medical journal : the journal of Medical Association of Malawi · 2018Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Study Design Case report and literature review. Objective To describe a case of nontraumatic atlantoaxial rotatory subluxation (Grisel syndrome) and to review clinical and radiologic aspects, physiopathology, and treatment of this lesion. There is no well-established protocol in the management of patients without spontaneous reduction. The authors discuss the available strategies to achieve reduction and when to operate on these patients. Methods Case presentation of a 7-year-old patient who presented with torticollis ∼1 week after the onset of an upper airway infection. There was no history of head or neck trauma. Computed tomography demonstrated atlantoaxial rotatory subluxation and a normal atlantodental interval. Results The patient was treated with nonsteroidal anti-inflammatory drugs and antibiotics and by progressively increasing the soft cervical collar height. Clinical reduction of the subluxation occurred after 48 hours. He wore the rigid collar for 6 weeks. At that moment, the patient was completely asymptomatic and follow-up cervical spine radiograph demonstrated an anatomical C1-C2 relation. The patient was instructed to return to daily life activities in a gradual manner. Conclusions Grisel syndrome should be considered in the differential diagnosis of torticollis, especially in children. The management can be planned according to the classification of Fielding and Hawkins. The initial treatment involves medicines, injury reduction, and cervical spine immobilization. Surgical treatment is indicated only in cases of failure of conservative treatment, recurrences of subluxation, and irreducible subluxations.
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