Inflammatory C2-3 subluxation: a Grisel's syndrome variant

Arch Dis Child. 2003 Jul;88(7):628-9. doi: 10.1136/adc.88.7.628.

Abstract

The concurrence of non-traumatic atlanto-axial subluxation with inflammation of the adjacent neck tissues is known as Grisel's syndrome. We report a 5 year old boy with recurring episodes of head tilt and painful and restricted neck movements that developed after repeated bouts of sinusitis. Radiographs showed a subluxation of the C2-3 joint. Medical treatment, with cervical collar, physiotherapy, and non-steroid anti-inflammatory agents, led to complete cure of the disease. We suggest that Grisel's syndrome can occur in a location different from the classic atlanto-axial joint. To the best of our knowledge, this is the first report of a symptomatic case of Grisel's syndrome occurring at the C2-3 segment.

Publication types

  • Case Reports

MeSH terms

  • Atlanto-Axial Joint / diagnostic imaging
  • Atlanto-Axial Joint / injuries*
  • Child, Preschool
  • Follow-Up Studies
  • Humans
  • Joint Dislocations / diagnostic imaging*
  • Male
  • Radiography
  • Recurrence
  • Syndrome
  • Torticollis / diagnostic imaging*