편도 및 아데노이드 절제술 후 발생한 그리즐 증후군 1예

초록

Grisel’s syndrome is a non-traumatic atlantoaxial rotatory subluxation for which the underlyingmechanism has not yet been identified. It is known to occur following upper respiratoryinfections, tonsillitis, ear, nose, and throat (ENT) surgeries such as tonsillectomy and adenoidectomy. The diagnosis of Grisel’s syndrome can be made by plain x-ray, CT scanning, and/orMRI scanning. The first choice of treatment is conservative therapy such as bed rest, musclerelaxation, analgesic therapy, antibiotics, and simple traction. While Grisel’s syndrome occursrarely, delayed treatment may lead to neurological complications or requires surgical treatment. Early diagnosis and treatment are important in preventing fatal outcome. We report the caseof a 9-year-old male who developed Grisel’s syndrome after tonsillectomy and adenoidectomy.

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