The Turkish Journal of Pediatrics
2020 , Vol 62 , Num 1
Grisel`s syndrome presenting with neck pain: an atypical case
1 Department of Neurosurgery, Adana City Training and Research Hospital, Adana, Turkey
DOI :
10.24953/turkjped.2020.01.021
Grisel`s syndrome is non-traumatic inflammatory subluxation of the atlantoaxial joints presenting clinically as
torticollis, neck pain, and reduced neck mobility. Several pathogens have been implicated in its etiology. Early
diagnosis and treatment are vital for Grisel`s syndrome to avoid serious neurological complications. This study
reports the case of a 6-year-old girl who complained of pain and curvature of the neck following an upper
respiratory tract influenza infection. Notably, the patient`s neck pain and curvature worsened toward the end
of her normal day for a week. This pattern is rare, but it represents an important example of Grisel`s syndrome
as a condition that varies through the day.
Keywords :
atlantoaxial joints, torticollis, viral infection, pain