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Miscellanea
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. 1 General Paediatrics, University College London Hospitals NHS Foundation Trust, London, UK
  2. 2 GPVTS, University College London Hospitals NHS Foundation Trust, London, UK
  3. 3 Radiology 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

https://doi.org/10.1136/archdischild-2017-314536

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    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 …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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