Budha Bishal, Paudel Sujan, Luitel Prajjwol, Joshi Bishweshwar, Upreti Arun, Ghimire Nischal
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, Nepal.
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Maharajgunj, Nepal.
Int J Surg Case Rep. 2025 Feb;127:110817. doi: 10.1016/j.ijscr.2025.110817. Epub 2025 Jan 4.
Grisel syndrome (GS) is a rare but potentially lethal condition characterized by non-traumatic atlantoaxial subluxation primarily affecting pediatric population following inflammatory condition of head and neck. Early diagnosis and prompt treatment is crucial for better management of symptoms and better outcomes.
7-years-old child present with torticollis, sudden onset progressive neck pain, restricted range of motion and bilateral lymphadenopathy after upper respiratory tract infection (URTI). Radiological findings revealed 1st and 2nd cervical vertebrae (C1-C2) subluxation and he was diagnosed as GS. He was managed conservatively with head halter and soft collar, resulting full recovery within 2 weeks.
Grisel syndrome should be considered in pediatric population presenting with neck pain and torticollis following URTI or surgery, demanding early radiological imaging and prompt treatment to prevent complications.
Early diagnosis and prompt treatment alleviates neurological complications and necessity of surgical intervention.
格里斯尔综合征（GS）是一种罕见但可能致命的疾病，其特征为非创伤性寰枢椎半脱位，主要影响头颈部炎症后的儿童人群。早期诊断和及时治疗对于更好地控制症状和取得更好的治疗效果至关重要。
一名7岁儿童在上呼吸道感染（URTI）后出现斜颈、突发进行性颈部疼痛、活动范围受限和双侧淋巴结病。影像学检查发现第一和第二颈椎（C1-C2）半脱位，被诊断为GS。采用头部颈托和软颈圈进行保守治疗，2周内完全康复。
对于URTI或手术后出现颈部疼痛和斜颈的儿童，应考虑格里斯尔综合征，需要早期进行影像学检查并及时治疗以预防并发症。
早期诊断和及时治疗可减轻神经并发症以及手术干预的必要性。
