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1例格里斯尔综合征并发巨大囊性脑病变开颅术后的病例报告

A Case Report of Grisel's Syndrome Complicating the Postoperative Course of Craniotomy for a Massive Cystic Brain Lesion.

作者信息

Newsome-Cuby Takara R, Darko Kwadwo, Odiase Peace, O'Leary Sean, Marchese Charles, Valentine Michael J, Pautler Benjamin, AlDallal Usama, Ismail Mohamed, Hayat Fakhar

机构信息

School of Osteopathic Medicine, Kansas City University, Kansas City, USA.

Neurosurgery, Korle-Bu Teaching Hospital, Accra, GHA.

出版信息

Cureus. 2024 Nov 15;16(11):e73776. doi: 10.7759/cureus.73776. eCollection 2024 Nov.

DOI:10.7759/cureus.73776
PMID:39691142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11650120/
Abstract

This report presents the case of a seven-year-old child diagnosed with Grisel's syndrome following a craniotomy for a cystic brain lesion. The patient initially presented with persistent, progressively worsening headaches that coincided with neurological symptoms. Imaging revealed a massive cystic lesion causing a significant compression and midline shift. Following craniotomy and insertion of a left frontal Ommaya reservoir, the patient developed Grisel's syndrome, characterized by painful neck muscle spasms and rotation to the right. Management included the application of halo traction to ensure rigid cervical spine immobilization, closed reduction, and subsequent transition to a halo vest to maintain alignment and facilitate gradual recovery.

摘要

本报告介绍了一名七岁儿童的病例，该儿童在因囊性脑病变接受开颅手术后被诊断为格里塞尔综合征。患者最初出现持续且逐渐加重的头痛，并伴有神经症状。影像学检查显示一个巨大的囊性病变，导致明显的压迫和中线移位。在开颅手术并插入左额叶奥马亚储液囊后，患者出现了格里塞尔综合征，其特征为颈部肌肉疼痛性痉挛并向右侧旋转。治疗措施包括应用头环牵引以确保颈椎严格固定、闭合复位，随后过渡到头环背心以维持对线并促进逐渐恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0873/11650120/a15dd3e218c2/cureus-0016-00000073776-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0873/11650120/93b54ea0aee8/cureus-0016-00000073776-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0873/11650120/380400a81799/cureus-0016-00000073776-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0873/11650120/a15dd3e218c2/cureus-0016-00000073776-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0873/11650120/93b54ea0aee8/cureus-0016-00000073776-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0873/11650120/380400a81799/cureus-0016-00000073776-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0873/11650120/a15dd3e218c2/cureus-0016-00000073776-i03.jpg

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本文引用的文献

1
Magnetic Resonance Imaging as the Primary Imaging Modality in Children Presenting with Inflammatory Nontraumatic Atlantoaxial Rotatory Subluxation.磁共振成像作为炎症性非创伤性寰枢椎旋转半脱位患儿的主要影像学检查方法
Children (Basel). 2021 Apr 23;8(5):329. doi: 10.3390/children8050329.
2
Grisel's syndrome: a case report on this rare pediatric disease and its anesthetic challenges.格里塞利综合征：一例罕见儿科疾病及其麻醉挑战病例报告。
BMC Anesthesiol. 2020 Sep 30;20(1):255. doi: 10.1186/s12871-020-01176-7.
3
Grisel's syndrome post otolaryngology procedures: A systematic review.
耳鼻喉科手术后的格林-巴利综合征：系统评价。
Int J Pediatr Otorhinolaryngol. 2020 Oct;137:110225. doi: 10.1016/j.ijporl.2020.110225. Epub 2020 Jun 27.
4
Grisel syndrome: pathophysiological evidence from magnetic resonance imaging findings.格里斯尔综合征：来自磁共振成像结果的病理生理学证据。
Ann Rehabil Med. 2013 Oct;37(5):713-6. doi: 10.5535/arm.2013.37.5.713. Epub 2013 Oct 29.
5
The importance of early diagnosis and appropriate treatment in Grisel's syndrome: report of two cases.格里斯尔综合征早期诊断及恰当治疗的重要性：两例报告
Turk Neurosurg. 2011;21(4):680-4.
6
Grisel's syndrome: a case report and review of the literature.格里塞尔综合征：一例病例报告及文献综述
Int J Pediatr Otorhinolaryngol. 2005 Dec;69(12):1689-92. doi: 10.1016/j.ijporl.2005.03.046. Epub 2005 Jun 22.
7
Inflammatory C2-3 subluxation: a Grisel's syndrome variant.炎性C2-3半脱位：一种Grisel综合征变体。
Arch Dis Child. 2003 Jul;88(7):628-9. doi: 10.1136/adc.88.7.628.
8
Infection-related atlantoaxial subluxation in two adults: Grisel syndrome or not?两名成人的感染相关性寰枢椎半脱位：是否为格里斯尔综合征？
Acta Neurochir (Wien). 2003 Jan;145(1):69-72. doi: 10.1007/s00701-002-0979-5.
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Am J Otolaryngol. 2002 Jan-Feb;23(1):60-5. doi: 10.1053/ajot.2002.28781.
10
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