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颈枕交界区感染性骨关节炎合并寰枢椎脱位、颈部脓肿及硬脊膜外炎:1例报告并文献复习

Cervico-occipital junction infectious osteoarthritis complicated with atlantoaxial dislocation, cervical abscesses and epiduritis: A case report and review of the literature.

作者信息

Harras Yahya El, Messaoud Ola, Berrada Kenza, Fikri Meryem, Kettani Najwa Ech-Cherif, Jiddane Mohamed, Touarsa Firdaous

机构信息

Neuroradiology department, Hospital of specialties, Ibn Sina University Hospital Center, Rabat, Morocco.

出版信息

Radiol Case Rep. 2024 Jul 29;19(10):4375-4379. doi: 10.1016/j.radcr.2024.06.057. eCollection 2024 Oct.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab76/11334557/9626a261ce74/gr1.jpg

相似文献

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Grisel's Syndrome Induced by Mycobacterium tuberculosis.结核分枝杆菌所致的格里斯尔综合征
Korean J Spine. 2015 Jun;12(2):84-7. doi: 10.14245/kjs.2015.12.2.84. Epub 2015 Jun 30.
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Grisel's Syndrome in an Adult After Endoscopic Nasopharyngectomy.内镜下鼻咽切除术后成人的格里斯尔综合征
Laryngoscope Investig Otolaryngol. 2019 Aug 13;4(5):504-507. doi: 10.1002/lio2.298. eCollection 2019 Oct.
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Odontoid osteomyelitis with atlantoaxial subluxation in an infant.婴儿齿状突骨髓炎伴寰枢椎半脱位
Eur Spine J. 2017 May;26(Suppl 1):136-140. doi: 10.1007/s00586-016-4919-0. Epub 2016 Dec 23.
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Grisel's syndrome associated with mumps: A case report.与腮腺炎相关的格里斯尔综合征:一例报告。
Front Pediatr. 2022 Sep 29;10:916538. doi: 10.3389/fped.2022.916538. eCollection 2022.

本文引用的文献

4
A review of the diagnosis and treatment of atlantoaxial dislocations.寰枢关节脱位的诊断与治疗综述。
Global Spine J. 2014 Aug;4(3):197-210. doi: 10.1055/s-0034-1376371. Epub 2014 May 22.
6
Grisel's syndrome as a sequela of a complicated acute mastoiditis.作为复杂急性乳突炎后遗症的格里斯尔综合征。
Acta Otorrinolaringol Esp. 2013 Mar-Apr;64(2):161-4. doi: 10.1016/j.otorri.2011.11.004. Epub 2012 Jan 21.

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