Grisel’s syndrome ; a case report
Objectives : To report a case of Atlantoaxial Rotatory Subluxation (ARS) following parapharyngeal infection (Grisel’s syndrome) in 10-years old girl.
Method: Case report : A 10-years old girl came to the orthopedicts department complaining of neck pain and torticollis following parapharyngeal infection for 10 days. Roentgenographic examination of the antero-posterior and open-mouth view showed prevertebral soft tissue swelling and type one of C1-C2 subluxation (Fielding and Hawkins’ Classification). The patient was admitted to hospital and treated with appropriated antibiotic and head halter traction.
Result : After appropriated antibiotic and head halter traction, the subluxation returned to normal position after 5 days. A soft collar was used for immobilization about 6 weeks.
Conclusion : In children, Atlantoaxial Rotatory Subluxation (ARS) following parapharyngeal infection (Grisel’s syndrome) can be find.Key words : C1-C2 subluxation , torticollis, in children