Das Soumyajit, Chakraborty Suvamoy, Das Subhajit
1Department of ENT, Sikkim Manipal Institute of Medical Sciences, 5th Mile, Tadong, Gangtok, 737102 India.
Department of Radiology, Mazumder Shaw Medical Centre, Bommasandra, Bengaluru, Karnataka 560099 India.
Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):66-69. doi: 10.1007/s12070-016-1030-0. Epub 2016 Oct 25.
Grisel's syndrome is non traumatic atlanto axial subluxation usually associated with inflammatory conditions of head and neck region. Non traumatic atlanto axial joint subluxation is a rare entity for an unsuspecting otolaryngologist. The condition if missed and not treated properly can have serious implications with possible neurological deficit. We attempt to review the existing literature on the disease condition and also to highlight the proper management of the condition. Retrospective analysis of hospital record of last five years and an internet based literature survey on the current concepts and management of the condition. We have come across five cases of Grisel's syndrome over the last five years. The clinicopathological and radiological features are described. Grisel syndrome may remain undiagnosed at initial presentation if not suspected. Delayed diagnosis may result in life long morbidity for the patient and the need for surgical intervention. Many of the early cases can be treated successfully by conservative approach.
格里斯尔综合征是非创伤性寰枢椎半脱位，通常与头颈部的炎症性疾病相关。对于毫无防备的耳鼻喉科医生来说，非创伤性寰枢椎关节半脱位是一种罕见的病症。如果漏诊且未得到妥善治疗，这种情况可能会产生严重后果，导致可能的神经功能缺损。我们试图回顾关于该疾病状况的现有文献，并强调对该病症的恰当管理。对过去五年的医院记录进行回顾性分析，并基于互联网对该病症的当前概念和管理进行文献调查。在过去五年中，我们遇到了五例格里斯尔综合征病例。描述了其临床病理和放射学特征。如果没有怀疑，格里斯尔综合征在初次就诊时可能仍未被诊断出来。延迟诊断可能会给患者带来终身残疾，并需要进行手术干预。许多早期病例可以通过保守方法成功治疗。
