A Case of Atlanto-Axial Joint Subluxation Following Tonsillectomy in Patient of Tonsillar Cancer with Preoperative Radiotherapy: Grisel's Syndrome.
10.3342/kjorl-hns.2016.59.8.604
- Author:
Yoon Seok CHOI
1
;
Chang Hoon BAE
;
Yong Dae KIM
;
Si Youn SONG
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Yeungnam University, Daegu, Korea. ssykhs@med.yu.ac.kr
- Publication Type:Case Report
- Keywords:
Atlanto-axial joint subluxation;
Radiotherapy;
Tonsillar cancer;
Tonsillectomy
- MeSH:
Atlanto-Axial Joint*;
Bone Diseases;
Humans;
Hyperemia;
Immobilization;
Inflammation;
Ligaments;
Radiotherapy*;
Relaxation;
Surgical Procedures, Operative;
Tonsillar Neoplasms*;
Tonsillectomy*
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2016;59(8):604-608
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Grisel's syndrome, defined as the atlanto-axial joint subluxation not associated with a trauma or bone disease, is a rare complication following operative procedure and/or infections of the upper aerodigestive tract. Pathogenetically, it may occur in association with any condition that results in hyperemia and pathological relaxation of the transverse ligament of the atlanto-axial joint. When an inflammation heals, Grisel's syndrome can probably result in a fixation in the rotated position. It is diagnosed by physical and radiological findings. Early management, consisting of cervical immobilization and medical treatment, is considered a key factor for satisfactory outcome. Inappropriate treatment can result in a catastrophic consequence. Recently, we experienced a case of Grisel's syndrome following tonsillectomy in a patient with left palatine tonsillar cancer with preoperative radiotherapy. We report this case with a literature review.
