Harras Yahya El, Messaoud Ola, Berrada Kenza, Fikri Meryem, Kettani Najwa Ech-Cherif, Jiddane Mohamed, Touarsa Firdaous
Neuroradiology department, Hospital of specialties, Ibn Sina University Hospital Center, Rabat, Morocco.
Radiol Case Rep. 2024 Jul 29;19(10):4375-4379. doi: 10.1016/j.radcr.2024.06.057. eCollection 2024 Oct.
Craniocervical junction infections are considered a rare condition and can be associated with degradation of the odontoid ligaments and, the risk of a subsequent atlantoaxial subluxation or dislocation. Osteomyelitis at this level is often seen in immunocompromised patients with, intravenous drug use or infective endocarditis. Atlantoaxial subluxation associated with pharyngeal infection or its surrounding tissues is called Grisel's syndrome. We report the case of a 29-year-old man diagnosed with infectious cervico-occipital osteoarthritis complicated by atlantoaxial dislocation, abscesses located in the retropharyngeal space, and the prevertebral space as well as upper cervical epiduritis. Our purpose is to highlight the role of radiologists in diagnosing this rare yet deadly condition.
颅颈交界区感染被认为是一种罕见疾病,可能与齿状韧带退变以及继发寰枢椎半脱位或脱位的风险有关。该部位的骨髓炎常见于免疫功能低下、静脉吸毒或感染性心内膜炎患者。与咽部感染或其周围组织相关的寰枢椎半脱位称为格里斯尔综合征。我们报告一例29岁男性病例,诊断为感染性枕颈骨关节炎,并发寰枢椎脱位、咽后间隙和椎前间隙脓肿以及上颈椎硬膜外炎。我们的目的是强调放射科医生在诊断这种罕见但致命疾病中的作用。