Ole Møller Hansen, Olga Hogreffe Nikitina & Elke Longin:
Grisel’s syndrome causing torticollis in children
Ugeskr Læger 2019;181:V01190028
This is a case report of an eight-year-old boy with CT-confirmed changes bringing attention to Grisel’s syndrome as a differential diagnosis to torticollis. The syndrome – also known as atlantoaxial subluxation – is a complication to operations or infections in the ear, nose and throat region.
It usually presents as a slightly flexed and rotated neck, and characteristic radiographic findings. Complications include neurological symptoms and rarely spinal cord compression. The treatment is debated, but it takes the underlying cause and immobilisation in consideration. In severe cases, repositioning in general anaesthesia or even surgical fusion may be necessary.