Atlantoaxial subluxation secondary to retropharyngeal abcess in adults (Grisel's syndrome). Review of literature about a clinical case.

We present the case of a 68-year-old patient with a history of chronic myeloid leukemia, who presented with infectious polyarthritis, cervicalgia, torticollis and cervical impotence. Cervical radiography, CT, and MRI showed a C1-C2 subluxation adjacent to a pharyngeal abscess, so GS was diagnosed. After antibiotic therapy, the patient had to undergo surgery due to the failure of the closed reduction. Due to its low incidence, there are no clinical guidelines for the management of these patients; The interdisciplinary collaboration is fundamental to establish the opportune diagnosis that allows to establish the conservative treatment and prevent the surgery, as well as the complications and sequelae of the fixation of the atlanto-axial joint.
PMID: 31615691 [PubMed - as supplied by publisher]

Source: Neurocirugia - October 12, 2019 Category: Neurosurgery Authors: Andermatten JA, Elua Pinin A, Samprón Lebed N, Armendariz Guezala M, Arrazola Schlamilch M, Úrculo Bareño E Tags: Neurocirugia (Astur) Source Type: research