Article Text

PDF
Images in paediatrics
A pain in the neck: Grisel’s syndrome
  1. Philippa Anna Stilwell1,
  2. Debra Fine2,
  3. James Roberts3,
  4. Leanne Goh1
  1. 1General Paediatrics, University College London Hospitals NHS Foundation Trust, London, UK
  2. 2GPVTS, University College London Hospitals NHS Foundation Trust, London, UK
  3. 3Radiology Department, University College London Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to Dr Philippa Anna Stilwell, General Paediatrics, University College London Hospitals NHS Foundation Trust, London NW1 2BU, UK; annastilwell{at}gmail.com

Statistics from Altmetric.com

A 7-year-old girl developed severe neck stiffness and trismus while on treatment for a presumed throat infection. Examination findings included a fixed torticollis with restricted neck movements in all directions (figure 1); erythematous tonsils and cervical lymphadenopathy. Group A strep was cultured from her throat swab. She coincidentally had diabetes mellitus. CT neck with contrast revealed subluxation of C1/C2 (figure 2, left); and bilateral retropharyngeal, deep …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.