Grisel Syndrome: An Unusual and Often Unrecognized Cause of Torticollis

Pediatr Emerg Care. 2015 Aug;31(8):577-80. doi: 10.1097/PEC.0000000000000278.

Abstract

Torticollis can be due to many different etiologies. Torticollis is not a diagnosis, but a symptom of many conditions. We present a case of persistent torticollis in a child that was misdiagnosed during multiple visits to the pediatrician, otolaryngologist, and 3 different emergency departments. Grisel syndrome must be included in the differential diagnosis of any patient with torticollis after a head and neck infection, upper respiratory infection, or postoperative from head and neck surgery. Early diagnosis allows for appropriate management and can prevent significant morbidity.

Publication types

  • Case Reports

MeSH terms

  • Atlanto-Axial Joint / pathology*
  • Child, Preschool
  • Diagnosis, Differential
  • Humans
  • Joint Dislocations / complications*
  • Joint Dislocations / diagnosis
  • Magnetic Resonance Imaging
  • Male
  • Spinal Injuries / complications*
  • Spinal Injuries / diagnosis
  • Torticollis / etiology*