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Case Reports in Otolaryngology
Volume 2014, Article ID 703021, 4 pages
http://dx.doi.org/10.1155/2014/703021
Case Report

Grisel’s Syndrome: A Rare Complication following Adenotonsillectomy

1Department of Otolaryngology, Faculty of Medicine, Afyon Kocatepe University, Ali Cetinkaya Kampusu, Tıp Fakultesi Izmir Karayolu, 03200 Afyonkarahisar, Turkey
2Department of Radiology, Faculty of Medicine, Afyon Kocatepe University, Ali Cetinkaya Kampusu, Tıp Fakultesi Izmir Karayolu, 03200 Afyonkarahisar, Turkey
3Department of Otolaryngology, Faculty of Medicine, Izmir University, Yeni Girne Bulvarı, 1825 Sok, No. 12, Karsıyaka, 35350 Izmir, Turkey

Received 19 January 2014; Accepted 3 March 2014; Published 24 March 2014

Academic Editor: Juan I. De Diego

Copyright © 2014 Abdulkadir Bucak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Grisel’s syndrome is a nontraumatic atlantoaxial subluxation which is usually secondary of an infection or an inflammation at the head and neck region. It can be observed after surgery of head and neck region. Etiopathogenesis has not been clearly described yet, but increased looseness of paraspinal ligament is thought to be responsible. Patients typically present with painful torticollis. Diagnosis of Grisel’s syndrome is largely based on suspicion of the patient who has recently underwent surgery or history of infection in head and neck region. Physical examination and imaging techniques assist in diagnosis. Therefore, clinicians should be aware of acute nontraumatic torticollis after recently applied the head and neck surgery or undergone upper respiratory tract infection. In this paper, a case of an eight-year-old male patient who had Grisel’s syndrome after adenotonsillectomy is discussed with review of the literature.