Atlantoaxial rotatory subluxation/fixation and Grisel’s syndrome in children: clinical and radiological prognostic factors

Spinnato, Paolo; Zarantonello, Paola; Guerri, Sara; Barakat, Massimo; Carpenzano, M.; Vara, Giulio; Bartoloni, Alessandra; Gasbarrini, A.; Molinari, Massimo; Tedesco, Giuseppe

doi:10.1007/s00431-020-03836-9

Cited by 13 publications

(13 citation statements)

References 27 publications

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“…Eine atlantoaxiale Rotationsfixation (AARF) oder atlantoaxiale Subluxation (AARS) [1] ist eine sehr selten vorkommende, komplizierte Form [2] eines meistens bei Kindern auftretenden Schiefhalses. Die Betroffenen sind häufig im Vorschul-oder Grundschulalter [3].…”

Section: Definition Und Einteilungunclassified

“…Die Pathophysiologie eines Grisel-Syndroms erklärt sich über venolymphatische Anastomosen in der pharyngobasilären Membran, durch die entzündliche Exsudate aus dem Pharynxbereich bis zu dem periodontalen Venenplexus wandern und dort eine Bandlaxität bis hin zur Instabilität bewirken 1 12 . Dies kann atraumatisch bedingt sein oder auch mit einem Bagatelltrauma zu mehreren Formen einer AARS oder AARF führen.…”

Section: Grisel-syndromunclassified

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Grisel-Syndrom bei einem Vorschulkind

Boltz¹

2022

DO - Deutsche Zeitschrift für Osteopathie

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Das Grisel-Syndrom, benannt nach Pierre Grisel (1869–1959), ist eine selten auftretende Komplikation des kindlichen Schiefhalses. Eine Entzündung im HNO-Bereich breitet sich auf die ligamentären Strukturen der oberen Kopfgelenke aus und bewirkt dort eine Aufweichung. Dies kann atraumatisch oder traumatisch bedingt sein und zu einer atlantoaxialen Fixation oder Subluxation führen. Es werden 4 Schweregrade nach Fielding unterschieden. Die Zeit bis zur Diagnose und Therapie sollte 4 Wochen nicht überschreiten.

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Section: Definition Und Einteilungunclassified

Section: Grisel-syndromunclassified

Grisel-Syndrom bei einem Vorschulkind

Boltz¹

2022

DO - Deutsche Zeitschrift für Osteopathie

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“…In this condition, the infection results in hyperemia and pathologic relaxation of the transverse ligament of the atlantoaxial joint (Grisel's syndrome), allowing different degrees of C1-C2 rotation. 62 Most vertebral pediatric fractures are compression fractures. Traumatic mechanism usually is represented by a fall, resulting in a wedge-shaped deformity of the vertebral body with a possible involvement of the anterior vertebral column.…”

Section: Traumamentioning

confidence: 99%

The Pediatric Spine

Colafati

Marrazzo

Cirillo

et al. 2021

Semin Musculoskelet Radiol

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“…CVJ contains vital neural structures (vertebral arteries, brain stem, spinal cord) while achieving the most mobility of any spinal segment [ 6 ]. Indeed, most functions such as cranial extension, flexion, and axial rotation are accomplished in the CVJ area [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous CT-Guided Biopsy of the Craniovertebral Junction: Safety, Diagnostic Yield, and Technical Notes

2022

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The craniovertebral junction defined as the occiput, the atlas, and the axis is a complex bony region that contains vital neural and vascular structures. We report the experience of a single academic institution regarding CT-guided biopsy of this skeletal region. We reviewed all of the CT-guided biopsies performed in our department, completed in the craniovertebral junction. We collected data in regard to biopsy procedures, patients’ vital statistics, and histopathological diagnosis. In total, 16 patients (8M and 8F; mean age 52; range 16–86 years old) were included in this series. In eight patients, the lesions were located in the atlas vertebra (8/16—50%), in six patients in the axis (37.5%), and in two patients in the occiput (12.5%). No complications were observed during or after the procedures. All of the procedures were technically successful. The biopsy was diagnostic in 13/16 patients (81.3%): four metastatic lesions (25%—three breast and one prostate cancers), four multiple myeloma bone lesions (25%), three aneurismal bone cysts (18.8%), one aggressive hemangioma (6.3%), and one pseudogout (6.3%). Moreover, in two-thirds (66.6%) of non-diagnostic histological reports, malignancies were excluded. CT-guided percutaneous biopsy is a safe tool and allows obtaining a histological diagnosis, in most cases, even in the most delicate site of the human skeleton—the craniovertebral junction.

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Atlantoaxial rotatory subluxation/fixation and Grisel’s syndrome in children: clinical and radiological prognostic factors

Cited by 13 publications

References 27 publications

Grisel-Syndrom bei einem Vorschulkind

Grisel-Syndrom bei einem Vorschulkind

The Pediatric Spine

Percutaneous CT-Guided Biopsy of the Craniovertebral Junction: Safety, Diagnostic Yield, and Technical Notes

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