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Inflammatory C2-3 subluxation: a Grisel's syndrome variant.

J F Martínez-Lage·T Morales·V Fernandez Cornejo
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Abstract

The concurrence of non-traumatic atlanto-axial subluxation with inflammation of the adjacent neck tissues is known as Grisel's syndrome. We report a 5 year old boy with recurring episodes of head tilt and painful and restricted neck movements that developed after repeated bouts of sinusitis. Radiographs showed a subluxation of the C2-3 joint. Medical treatment, with cervical collar, physiotherapy, and non-steroid anti-inflammatory agents, led to complete cure of the disease. We suggest that Grisel's syndrome can occur in a location different from the classic atlanto-axial joint. To the best of our knowledge, this is the first report of a symptomatic case of Grisel's syndrome occurring at the C2-3 segment.

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Atlanto-Axial JointChild, PreschoolFollow-Up StudiesHumansJoint DislocationsMaleRadiographyRecurrenceSyndromeTorticollisCase ReportsJournal Article

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J F Martínez-Lage, T Morales, V Fernandez Cornejo. 2003. Inflammatory C2-3 subluxation: a Grisel's syndrome variant.. https://doi.org/10.1136/adc.88.7.628

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