Grisel's syndrome associated with mumps: A case report

Grisel's syndrome (GS) is defined as atlantoaxial rotatory subluxation/fixation not associated with trauma or bone disease, usually following head and neck infection/inflammation or ear, nose, and throat (ENT) surgery. Many conditions could lead to Grisel's syndrome, of which mumps is rare...

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Main Authors: Yanrong Shen, Lixia Yang, Xiaoliang Liu, Yawen Xie, Xiaohui Dai, Chuan Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.916538/full
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author Yanrong Shen
Yanrong Shen
Lixia Yang
Lixia Yang
Lixia Yang
Xiaoliang Liu
Xiaoliang Liu
Xiaoliang Liu
Xiaoliang Liu
Yawen Xie
Xiaohui Dai
Chuan Wang
Chuan Wang
Chuan Wang
Chuan Wang
author_facet Yanrong Shen
Yanrong Shen
Lixia Yang
Lixia Yang
Lixia Yang
Xiaoliang Liu
Xiaoliang Liu
Xiaoliang Liu
Xiaoliang Liu
Yawen Xie
Xiaohui Dai
Chuan Wang
Chuan Wang
Chuan Wang
Chuan Wang
author_sort Yanrong Shen
collection DOAJ
description Grisel's syndrome (GS) is defined as atlantoaxial rotatory subluxation/fixation not associated with trauma or bone disease, usually following head and neck infection/inflammation or ear, nose, and throat (ENT) surgery. Many conditions could lead to Grisel's syndrome, of which mumps is rarely to be seen. This report discusses a case of GS in children with Type I atlantoaxial joint subluxation and previously diagnosed mumps. A 6-year-old boy who had cervical pain and torticollis for 2 weeks was admitted to our hospital. There was no trauma and he had not had ENT surgery but was diagnosed with mumps 2 weeks previously due to swelling of the left cheek and cervical lymph node. Physical examination and computed tomography confirmed a diagnosis of Grisel's syndrome with an ADI (atlanto-dens interval) of 1.6 mm. The patient then received occipito-mandibular traction for 6 days and recovered. No recurrence was observed at 1 year follow-up. Physicians should raise awareness of this rare complication of mumps to avoid life-threatening neurological impairments owing to Grisel's syndrome.
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spelling doaj.art-0808cbc139ed472f92c4210696d560102022-12-22T02:01:06ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602022-09-011010.3389/fped.2022.916538916538Grisel's syndrome associated with mumps: A case reportYanrong Shen0Yanrong Shen1Lixia Yang2Lixia Yang3Lixia Yang4Xiaoliang Liu5Xiaoliang Liu6Xiaoliang Liu7Xiaoliang Liu8Yawen Xie9Xiaohui Dai10Chuan Wang11Chuan Wang12Chuan Wang13Chuan Wang14Department of Pediatric Cardiology, West China Second University Hospital, Sichuan University, Chengdu, ChinaWest China Medical School of Sichuan University, Chengdu, ChinaWest China Medical School of Sichuan University, Chengdu, ChinaThe Cardiac Development and Early Intervention Unit, West China Institute of Women and Children's Health, West China Second University Hospital, Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education Chengdu, Chengdu, ChinaDepartment of Pediatric Cardiology, West China Second University Hospital, Sichuan University, Chengdu, ChinaWest China Medical School of Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education Chengdu, Chengdu, ChinaKey Laboratory of Development and Diseases of Women and Children of Sichuan Province, West China Second University Hospital, Sichuan University, Chengdu, ChinaWest China Medical School of Sichuan University, Chengdu, ChinaDepartment of Ultrasonography, West China Second University Hospital, Sichuan University, Chengdu, ChinaDepartment of Pediatric Cardiology, West China Second University Hospital, Sichuan University, Chengdu, ChinaWest China Medical School of Sichuan University, Chengdu, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education Chengdu, Chengdu, ChinaKey Laboratory of Development and Diseases of Women and Children of Sichuan Province, West China Second University Hospital, Sichuan University, Chengdu, ChinaGrisel's syndrome (GS) is defined as atlantoaxial rotatory subluxation/fixation not associated with trauma or bone disease, usually following head and neck infection/inflammation or ear, nose, and throat (ENT) surgery. Many conditions could lead to Grisel's syndrome, of which mumps is rarely to be seen. This report discusses a case of GS in children with Type I atlantoaxial joint subluxation and previously diagnosed mumps. A 6-year-old boy who had cervical pain and torticollis for 2 weeks was admitted to our hospital. There was no trauma and he had not had ENT surgery but was diagnosed with mumps 2 weeks previously due to swelling of the left cheek and cervical lymph node. Physical examination and computed tomography confirmed a diagnosis of Grisel's syndrome with an ADI (atlanto-dens interval) of 1.6 mm. The patient then received occipito-mandibular traction for 6 days and recovered. No recurrence was observed at 1 year follow-up. Physicians should raise awareness of this rare complication of mumps to avoid life-threatening neurological impairments owing to Grisel's syndrome.https://www.frontiersin.org/articles/10.3389/fped.2022.916538/fullGrisel's syndromemumpsatlanto-axial subluxationcase reportetiology
spellingShingle Yanrong Shen
Yanrong Shen
Lixia Yang
Lixia Yang
Lixia Yang
Xiaoliang Liu
Xiaoliang Liu
Xiaoliang Liu
Xiaoliang Liu
Yawen Xie
Xiaohui Dai
Chuan Wang
Chuan Wang
Chuan Wang
Chuan Wang
Grisel's syndrome associated with mumps: A case report
Frontiers in Pediatrics
Grisel's syndrome
mumps
atlanto-axial subluxation
case report
etiology
title Grisel's syndrome associated with mumps: A case report
title_full Grisel's syndrome associated with mumps: A case report
title_fullStr Grisel's syndrome associated with mumps: A case report
title_full_unstemmed Grisel's syndrome associated with mumps: A case report
title_short Grisel's syndrome associated with mumps: A case report
title_sort grisel s syndrome associated with mumps a case report
topic Grisel's syndrome
mumps
atlanto-axial subluxation
case report
etiology
url https://www.frontiersin.org/articles/10.3389/fped.2022.916538/full
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