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A Case Report of Grisel's Syndrome Complicating the Postoperative Course of Craniotomy for a Massive Cystic Brain Lesion.
Cureus
November 2024
Neurosurgery, King Hamad University Hospital, Busaiteen, BHR.
This report presents the case of a seven-year-old child diagnosed with Grisel's syndrome following a craniotomy for a cystic brain lesion. The patient initially presented with persistent, progressively worsening headaches that coincided with neurological symptoms. Imaging revealed a massive cystic lesion causing a significant compression and midline shift.
View Article and Find Full Text PDFTorticollis in incomplete Kawasaki disease: a case of atlantoaxial rotatory fixation.
BJR Case Rep
November 2024
Department of Orthopaedic Surgery, Tokyo Metropolitan Toshima Hospital, Tokyo 173-0015, Japan.
Various respiratory, musculoskeletal, gastrointestinal, neurological, and urinary complications have been reported in Kawasaki disease. Here, we describe a rare case of atlantoaxial rotatory fixation (AARF) associated with incomplete Kawasaki disease. The case is of a healthy 4-year-old Japanese boy who had a high-grade fever, lymphadenopathy, and torticollis diagnosed with incomplete Kawasaki disease.
View Article and Find Full Text PDFComparison of Glisson traction, soft or rigid cervical collars for the treatment of acute atlantoaxial rotatory subluxation in children: a retrospective study.
Sci Rep
October 2024
Department of Orthopaedic Surgery, Henan Children's Hospital, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou Children's Hospital, Zhengzhou, Henan, China.
Article Synopsis
- The study analyzed the effectiveness of three conservative therapies—Glisson traction, soft cervical collar, and rigid cervical collar—in treating children with acute atlantoaxial rotatory subluxation over a 5-year period.
- Success rates at the end of treatment were high across all groups: Glisson traction (94.59%), soft collar (83.64%), and rigid collar (92.31%), with no significant differences among them.
- Overall scores for clinical outcomes were similar, with no significant variations, suggesting that while all therapies are effective, cervical collars are preferred for outpatient use and rigid collars may offer better immobilization.
Long-term outcome of adult traumatic atlantoaxial rotatory fixation: a case series.
J Med Case Rep
October 2024
Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Fars, Iran.
Article Synopsis
- This case series examines five instances of adult atlantoaxial rotatory subluxation (AARS) due to trauma, highlighting treatment options and results.
- The subjects included four Iranian males and one female, aged 25 to 46, with varying presentations that required different management strategies.
- Initial conservative treatments were insufficient, leading to surgery, which resulted in significant symptom relief and improved function for all patients, demonstrating the effectiveness of surgical intervention.
Bow Hunter's Syndrome with Rotational Atlantoaxial Instability: A Rare Association.
Asian J Neurosurg
September 2024
Department of Interventional Neuroradiology, Indo American Hospital, Institute of Brain and Spine, Vaikom, Kerala, India.
Bow Hunter's syndrome (BHS) is a very rare condition in which there is rotational vertebral artery (VA) insufficiency. The association of BHS with rotational atlantoaxial instability is extremely rare. We are reporting a case of pediatric BHS who presented with features of VA insufficiency on neck rotation.
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