Grisel's syndrome
Grisel's Syndrome
Grisel's syndrome (pronounced: /ɡriːˈzɛl/), also known as Nontraumatic Atlantoaxial Subluxation, is a rare condition that primarily affects children. It is characterized by the abnormal rotation of the C1 vertebra on the C2 vertebra, leading to torticollis or wry neck.
Etymology
The condition is named after Paul Grisel, a French otolaryngologist who first described the syndrome in 1951.
Symptoms
The primary symptom of Grisel's syndrome is torticollis, a condition in which the head becomes twisted to one side. Other symptoms may include neck pain, difficulty swallowing (dysphagia), and a reduced range of motion in the neck.
Causes
Grisel's syndrome is typically associated with infections in the head and neck region, particularly otitis media and pharyngitis. It can also occur after surgical procedures involving the head and neck.
Diagnosis
Diagnosis of Grisel's syndrome involves a combination of clinical examination and imaging studies, such as CT or MRI scans. The condition is often misdiagnosed due to its rarity and the nonspecific nature of its symptoms.
Treatment
Treatment for Grisel's syndrome typically involves a combination of antibiotics to treat any underlying infection, pain management, and physical therapy. In severe cases, surgical intervention may be required to stabilize the atlantoaxial joint.
Prognosis
With early diagnosis and appropriate treatment, the prognosis for Grisel's syndrome is generally good. However, if left untreated, the condition can lead to serious complications, including permanent neck deformity and neurological damage.
External links
- Medical encyclopedia article on Grisel's syndrome
- Wikipedia's article - Grisel's syndrome
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