A Case of Grisel’s Syndrome Following Tonsillectomy and Adenoidectomy
10.3342/kjorl-hns.2022.00192
- Author:
Ye-Sol JUNG
1
;
Yoon HEO
;
Jun Yeon WON
;
Woo Hyun LEE
Author Information
1. Department of Otolaryngology, Kangwon National University Hospital, Chuncheon, Korea
- Publication Type:Case Report
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2022;65(11):713-717
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Grisel’s syndrome is a non-traumatic atlantoaxial rotatory subluxation for which the underlying mechanism has not yet been identified. It is known to occur following upper respiratory infections, tonsillitis, ear, nose, and throat (ENT) surgeries such as tonsillectomy and adenoidectomy. The diagnosis of Grisel’s syndrome can be made by plain x-ray, CT scanning, and/or MRI scanning. The first choice of treatment is conservative therapy such as bed rest, muscle relaxation, analgesic therapy, antibiotics, and simple traction. While Grisel’s syndrome occurs rarely, delayed treatment may lead to neurological complications or requires surgical treatment. Early diagnosis and treatment are important in preventing fatal outcome. We report the case of a 9-year-old male who developed Grisel’s syndrome after tonsillectomy and adenoidectomy.
