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Grisel syndrome: a delayed presentation in an asymptomatic patient

Lookup NU author(s): Dr Ivan Zammit-Maempel, Professor Vinidh Paleri


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Grisel syndrome is a rare condition characterised by atlanto-axial subluxation following an inflammatory process in the head and neck region. It occurs more commonly in children and usually presents with cervical pain and torticollis, in addition to symptoms of the primary infection. We present the case of an asymptornatic 78-year-old man who was incidentally found to have atlanto-axial subluxation on a routine follow-up computed tomography scan, three months following successful treatment of a skull base infection. This case emphasises the importance of appropriate follow-up imaging for patients with skull base infections, even if they respond clinically to medical treatment.

Publication metadata

Author(s): Doshi J, Anari S, Zammit-Maempel I, Paleri V

Publication type: Conference Proceedings (inc. Abstract)

Publication status: Published

Conference Name: 42nd South African ENT Congress/British Association of Otolaryngologists Head and Neck Surgeons

Year of Conference: 2007

Pages: 800-802

ISSN: 0022-2151

Publisher: Journal of Laryngology and Otology, Cambridge University Press


DOI: 10.1017/S0022215107006263

Library holdings: Search Newcastle University Library for this item

ISBN: 17485460