Grisel's Syndrome: A Case Report

DEMİROK, Duygu; ÇAPKIN, Erhan; USUL, Haydar; Tosun, Mehmet; SARİ, AHMET; SERDAROĞLU BEYAZAL, Münevver

Grisel's Syndrome: A Case Report

Münevver SERDAROĞLU BEYAZAL, (SB Van Bölge Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Van, Türkiye)

Duygu DEMİROK, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Trabzon, Türkiye)

Erhan ÇAPKIN, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Trabzon, Türkiye)

Haydar USUL, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Trabzon, Türkiye)

Mehmet TOSUN, (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Trabzon, Türkiye)

Ahmet SARI (Karadeniz Teknik Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Trabzon, Türkiye)

Turkish Journal of Rheumatology(.)Archives of Rheumatology

254 5

Yıl: 2011 Cilt: 26 Sayı: 3 Sayfa Aralığı: 243 - 247 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Grisel's Syndrome: A Case Report

Öz:

Grisel sendromu primer olarak çocuklarda görülen, baş ve boynun inflamatuvar hastalıkları ile ilişkili travmatik olmayan bir atlantoaksiyel subluksasyonudur. Aksisle atlas arasındaki subluksasyonun patogenezinden bağların inflamasyon boyunca artmış esnekliği sorumlu tutulmaktadır. Tanı klinik ve radyolojik bulgular ile konulur. Bu yazıda giderek şiddetlenen boyun ağrısı ve tutukluğu yakınması ile başvuran 19 yaşında erkek hasta sunuldu. Hastanın travma öyküsü yoktu. Hastanın servikal radyografi ve bilgisayarlı tomografi görüntüleri atlantoaksiyel subluksasyon varlığını gösterdi. Manyetik rezonans görüntülemede subluksasyon ve retrofarengeal yumuşak doku infeksiyonu görüldü. Klinik ve radyolojik verilere dayalı olarak hastaya Grisel sendromu tanısı konuldu ve hasta intravenöz antibiyotik ve internal inmobilizasyon ile tedavi edildi. Potansiyel sekeller ciddi olmakla birlikte Grisel sendromunun erken tanı ve tedavisi trajik sonuçları önleyebilir

Anahtar Kelime:

Konular: Romatoloji

Grisel Sendromu: Olgu Sunumu

Öz:

Grisel's syndrome is a non-traumatic atlantoaxial subluxation associated with inflammatory conditions of head and neck which occurs primarily in children. Increased flexibility of the ligaments during the inflammation is implicated in the pathogenesis of the subluxation between the axis and atlas. The diagnosis is made by clinical and radiological findings. In this article, we present a 19-year-old male patient who was admitted with a complaint of gradually increasing neck pain and stiffness. He had no history of trauma. Cervical spine radiography and computed tomography revealed atlantoaxial subluxation. Magnetic resonance imaging revealed subluxation and retropharyngeal soft tissue infection. Based on the clinical and radiological findings, we diagnosed the patient as having Grisel's syndrome, and the patient was treated with intravenous antibiotics and internal immobilization. Although the potential sequelae may be severe, early diagnosis and treatment of Grisel's syndrome can prevent tragic outcomes

Anahtar Kelime:

Konular: Romatoloji

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	SERDAROĞLU BEYAZAL M, DEMİROK D, ÇAPKIN E, USUL H, Tosun M, SARİ A (2011). Grisel's Syndrome: A Case Report. , 243 - 247.
Chicago	SERDAROĞLU BEYAZAL Münevver,DEMİROK Duygu,ÇAPKIN Erhan,USUL Haydar,Tosun Mehmet,SARİ AHMET Grisel's Syndrome: A Case Report. (2011): 243 - 247.
MLA	SERDAROĞLU BEYAZAL Münevver,DEMİROK Duygu,ÇAPKIN Erhan,USUL Haydar,Tosun Mehmet,SARİ AHMET Grisel's Syndrome: A Case Report. , 2011, ss.243 - 247.
AMA	SERDAROĞLU BEYAZAL M,DEMİROK D,ÇAPKIN E,USUL H,Tosun M,SARİ A Grisel's Syndrome: A Case Report. . 2011; 243 - 247.
Vancouver	SERDAROĞLU BEYAZAL M,DEMİROK D,ÇAPKIN E,USUL H,Tosun M,SARİ A Grisel's Syndrome: A Case Report. . 2011; 243 - 247.
IEEE	SERDAROĞLU BEYAZAL M,DEMİROK D,ÇAPKIN E,USUL H,Tosun M,SARİ A "Grisel's Syndrome: A Case Report." , ss.243 - 247, 2011.
ISNAD	SERDAROĞLU BEYAZAL, Münevver vd. "Grisel's Syndrome: A Case Report". (2011), 243-247.

APA	SERDAROĞLU BEYAZAL M, DEMİROK D, ÇAPKIN E, USUL H, Tosun M, SARİ A (2011). Grisel's Syndrome: A Case Report. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 26(3), 243 - 247.
Chicago	SERDAROĞLU BEYAZAL Münevver,DEMİROK Duygu,ÇAPKIN Erhan,USUL Haydar,Tosun Mehmet,SARİ AHMET Grisel's Syndrome: A Case Report. Turkish Journal of Rheumatology(.)Archives of Rheumatology 26, no.3 (2011): 243 - 247.
MLA	SERDAROĞLU BEYAZAL Münevver,DEMİROK Duygu,ÇAPKIN Erhan,USUL Haydar,Tosun Mehmet,SARİ AHMET Grisel's Syndrome: A Case Report. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.26, no.3, 2011, ss.243 - 247.
AMA	SERDAROĞLU BEYAZAL M,DEMİROK D,ÇAPKIN E,USUL H,Tosun M,SARİ A Grisel's Syndrome: A Case Report. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2011; 26(3): 243 - 247.
Vancouver	SERDAROĞLU BEYAZAL M,DEMİROK D,ÇAPKIN E,USUL H,Tosun M,SARİ A Grisel's Syndrome: A Case Report. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2011; 26(3): 243 - 247.
IEEE	SERDAROĞLU BEYAZAL M,DEMİROK D,ÇAPKIN E,USUL H,Tosun M,SARİ A "Grisel's Syndrome: A Case Report." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 26, ss.243 - 247, 2011.
ISNAD	SERDAROĞLU BEYAZAL, Münevver vd. "Grisel's Syndrome: A Case Report". Turkish Journal of Rheumatology(.)Archives of Rheumatology 26/3 (2011), 243-247.