Grisel's Syndrome Induced by Mycobacterium tuberculosis.
10.14245/kjs.2015.12.2.84
- Author:
Jun Ki LEE
1
;
Chang Hyun OH
;
Hyung Chun PARK
;
Seung Hwan YOON
Author Information
1. Department of Neurosurgery, Inha University College of Medicine, Incheon, Korea. nsyoon@gmail.com
- Publication Type:Case Report
- Keywords:
Grisel's syndrome;
Mycobacterium tuberculosis;
Non-traumatic atlantoaxial rotatory subluxation;
Torticollis
- MeSH:
Adult;
Atlanto-Axial Joint;
Female;
Follow-Up Studies;
Humans;
Immobilization;
Korea;
Magnetic Resonance Imaging;
Mycobacterium tuberculosis*;
Neck;
Retropharyngeal Abscess;
Torticollis
- From:Korean Journal of Spine
2015;12(2):84-87
- CountryRepublic of Korea
- Language:English
-
Abstract:
Grisel's syndrome is a non-traumatic subluxation of the atlantoaxial joints, which is caused by an inflammatory process in the upper neck. It is rare to find literary reports of Grisel's syndrome with an evident pathogen in a lesion. For the first time in Korea, we report a 36-year-old female with Grisel's syndrome having an atlantoaxial subluxation, which was caused by a retropharyngeal abscess secondary to pulmonary Mycobacterium tuberculosis. The patient was treated with an anti-tuberculosis regimen and was prescribed a Philadelphia collar for the control of torticollis. The result of magnetic resonance imaging (MRI) showed an improved atlantoaxial alignment, after drug treatment and immobilization. This patient was neurologically intact and free from symptomatic complaints at follow-up visit. Dynamic cervical radiograph confirmed that the atlantoaxial joints had been stable. The pathophysiology of Grisel's syndrome, along with anatomical attributes, was explained on the basis of the patient's clinical course.
