Shayan-Moghadam Ramin, Sharafi Mohammadhasan, Violas Philippe, Nabian Mohammad Hossein, Mehrpour Saeed Reza
Department of Orthopaedic Surgery, Center for Orthopedic Trans-disciplinary Applied Research, Shariati Hospital, Tehran University of Medical Sciences Tehran, Iran.
Department of Orthopaedic and Trauma Surgery, Shariati Hoapital and School of Medicine, Tehran University of Medical Sciences Tehran, Iran.
Int J Burns Trauma. 2023 Apr 15;13(2):94-98. eCollection 2023.
Grisel's syndrome is a non-traumatic subluxation of the atlantoaxial joint following an inflammatory process in the upper respiratory tract. Patients with Down syndrome have higher risks of developing atlantoaxial instability. This issue is mainly due to low muscle tone, loose ligaments, and alterations to the bone in patients with Down syndrome. Accompaniment of Grisel's syndrome and Down syndrome was not perused in recent investigations. To our knowledge, only one case of Grisel's syndrome in an adult patient with Down syndrome has been reported. In this study, we present a case of Grisel syndrome in a 7-year-old boy with Down syndrome following lymphadenitis. A 7-year-old boy with Down syndrome was admitted to the orthopedic ward of Shariati hospital with a possible diagnosis of Grisel's syndrome and treated with mento-occipital traction for ten days. In this case report, we represent a child with Down syndrome with Grisel's syndrome for the first time. We also imitated a simple and applicable non-surgical treatment for Grisel's syndrome.
格里斯尔综合征是上呼吸道炎症后发生的寰枢关节非创伤性半脱位。唐氏综合征患者发生寰枢椎不稳定的风险更高。这个问题主要是由于唐氏综合征患者肌张力低、韧带松弛和骨骼改变。近期研究未探讨格里斯尔综合征与唐氏综合征同时出现的情况。据我们所知，仅报道过1例成年唐氏综合征患者并发格里斯尔综合征。在本研究中，我们报告1例7岁唐氏综合征男孩在患淋巴结炎后发生格里斯尔综合征的病例。一名7岁唐氏综合征男孩因可能诊断为格里斯尔综合征入住沙里亚蒂医院骨科病房，并接受了十天的枕颌牵引治疗。在本病例报告中，我们首次展示了一名患有格里斯尔综合征的唐氏综合征患儿。我们还模拟了一种简单且适用的格里斯尔综合征非手术治疗方法。
