Yıl: 2011 Cilt: 21 Sayı: 4 Sayfa Aralığı: 680 - 684 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases

Öz:
Atlantoaksiyal eklemin travma ya da kemik patolojileri gibi nedenlere bağlı olmayan subluksasyonu Grisel Sendromu olarak adlandırılır. Oldukça nadir görülen bu sendrom boyun bölgesinin enflamatuvar hastalıkları ya da cerrahi girişimleri sonrası ortaya çıkabilir. Başka bir sağlık merkezinde adenoid hipertrofisi nedeniyle cerrahi girişim uygulanan ve postoperatif 2. gün ağrılı tortikolis gelişen sekiz yaşında kız hasta, postoperatif 5. gün yakınmalarının artması nedeniyle kliniğimize sevk edilmiştir. Ağrılı tortikolis yakınması ile kliniğimize başvuran ondört yaşında erkek hastanın hikayesinde ise 1 hafta önce geçirilmiş boğaz enfeksiyonu vardı. Radyolojik incelemeler sonucu her iki hastada da atlantoaksiyal subluksasyon tespit edildi. Servikal boyunluk ile eksternal fiksasyon, antibiyotik, kas gevşetici ve antienflamatuar tedavi uygulanan hastaların yakınmalarında hızla düzelme gözlendi. Boyun bölgesinin enflamasyonla seyreden hastalıkları ve cerrahi girişimleri sonrasında gelişen ağrılı tortikolisin ayırıcı tanısında Grisel Sendromu akılda tutulmalıdır. Bu iki olgu nedeniyle non-travmatik atlantoaksiyal subluksasyonun erken tanı ve uygun tedavisinin önemi vurgulanmıştır.
Anahtar Kelime:

Konular: Cerrahi

Grisel sendromunda erken teşhis ve uygun tedavinin önemi: iki olgu sunumu

Öz:
Grisel’s syndrome designates subluxation of atlanto-axial joint unrelated to trauma or bone disease. Atlanto-axial subluxation is seen after the upper neck inflammatory processes of head and neck region. Moreover, this rare clinical entity has been observed after various otolaryngological surgical approaches including adenoidectomy, tonsillectomy and mastoidectomy. An 8-year-old girl and 14 year-old boy presented with complaints of painful torticollis. The first patient was operated on at another health center due to adenoid hypertrophy. She was referred to our clinic on the postoperative 5th day with painful torticollis. The diagnosis was established by computerized tomography and three-dimensional reconstructions. The second patient had a history of throat infection. Radiological investigation demonstrated atlantoaxial subluxation. The patients were treated with external fixation, antibiotic therapy, muscle relaxants, and anti-inflammatory therapy. Early diagnosis and appropriate treatment resulted in a good outcome in our patients. Grisel’s syndrome must be considered in the differential diagnosis in children with painful torticollis associated with upper respiratory tract infection and after various otolaryngological surgical procedures. We report two cases of Grisel’s syndrome which emphasize on the importance of early diagnosis for appropriate and successful treatment.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA Dagtekin A, Kara E, VAYISOĞLU Y, KOSEOGLU A, AVCI E, TALAS D, BAĞDATOĞLU C (2011). The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases. , 680 - 684.
Chicago Dagtekin Ahmet,Kara Engin,VAYISOĞLU Yusuf,KOSEOGLU Aslihan,AVCI Emel,TALAS Derya,BAĞDATOĞLU CELAL The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases. (2011): 680 - 684.
MLA Dagtekin Ahmet,Kara Engin,VAYISOĞLU Yusuf,KOSEOGLU Aslihan,AVCI Emel,TALAS Derya,BAĞDATOĞLU CELAL The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases. , 2011, ss.680 - 684.
AMA Dagtekin A,Kara E,VAYISOĞLU Y,KOSEOGLU A,AVCI E,TALAS D,BAĞDATOĞLU C The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases. . 2011; 680 - 684.
Vancouver Dagtekin A,Kara E,VAYISOĞLU Y,KOSEOGLU A,AVCI E,TALAS D,BAĞDATOĞLU C The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases. . 2011; 680 - 684.
IEEE Dagtekin A,Kara E,VAYISOĞLU Y,KOSEOGLU A,AVCI E,TALAS D,BAĞDATOĞLU C "The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases." , ss.680 - 684, 2011.
ISNAD Dagtekin, Ahmet vd. "The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases". (2011), 680-684.
APA Dagtekin A, Kara E, VAYISOĞLU Y, KOSEOGLU A, AVCI E, TALAS D, BAĞDATOĞLU C (2011). The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases. Turkish Neurosurgery, 21(4), 680 - 684.
Chicago Dagtekin Ahmet,Kara Engin,VAYISOĞLU Yusuf,KOSEOGLU Aslihan,AVCI Emel,TALAS Derya,BAĞDATOĞLU CELAL The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases. Turkish Neurosurgery 21, no.4 (2011): 680 - 684.
MLA Dagtekin Ahmet,Kara Engin,VAYISOĞLU Yusuf,KOSEOGLU Aslihan,AVCI Emel,TALAS Derya,BAĞDATOĞLU CELAL The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases. Turkish Neurosurgery, vol.21, no.4, 2011, ss.680 - 684.
AMA Dagtekin A,Kara E,VAYISOĞLU Y,KOSEOGLU A,AVCI E,TALAS D,BAĞDATOĞLU C The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases. Turkish Neurosurgery. 2011; 21(4): 680 - 684.
Vancouver Dagtekin A,Kara E,VAYISOĞLU Y,KOSEOGLU A,AVCI E,TALAS D,BAĞDATOĞLU C The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases. Turkish Neurosurgery. 2011; 21(4): 680 - 684.
IEEE Dagtekin A,Kara E,VAYISOĞLU Y,KOSEOGLU A,AVCI E,TALAS D,BAĞDATOĞLU C "The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases." Turkish Neurosurgery, 21, ss.680 - 684, 2011.
ISNAD Dagtekin, Ahmet vd. "The ımportance of early diagnosis and appropriate treatment in grisel’s syndrome: report of two cases". Turkish Neurosurgery 21/4 (2011), 680-684.