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Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/21330
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dc.contributor.authorKarkos, P. D.en
dc.contributor.authorBenton, J.en
dc.contributor.authorLeong, S. C.en
dc.contributor.authorMushi, E.en
dc.contributor.authorSivaji, N.en
dc.contributor.authorAssimakopoulos, D. A.en
dc.date.accessioned2015-11-24T19:14:31Z-
dc.date.available2015-11-24T19:14:31Z-
dc.identifier.issn0165-5876-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/21330-
dc.rightsDefault Licence-
dc.subjectgrisel's syndromeen
dc.subjectspontaneous non-traumatic atlantoaxial subluxationen
dc.subjectheaden
dc.subjectnecken
dc.subjectearen
dc.subjectnoseen
dc.subjectthroaten
dc.subjectnontraumatic atlantoaxial subluxationen
dc.subjectrotatory subluxationen
dc.subjectaxial subluxationen
dc.subjectacquired torticollisen
dc.subjectla maladieen
dc.subjectadenoidectomyen
dc.subjecttonsillectomyen
dc.subjectmanagementen
dc.subjectchildrenen
dc.subjectpatienten
dc.titleGrisel's syndrome in otolaryngology: A systematic reviewen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primaryDOI 10.1016/j.ijporl.2007.07.002-
heal.identifier.secondary<Go to ISI>://000251342700001-
heal.identifier.secondaryhttp://www.sciencedirect.com/science/article/pii/S0165587607003242-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.publicationDate2007-
heal.abstractAims: to assess etiology, treatment and outcome of Grisel's syndrome. Methods: A Medline search was performed using the terms Grisel's syndrome, spontaneous atlantoaxial subluxation, head, neck, ear, nose and throat. A systematic review of the literature was performed. Case series of both adult and pediatric cases were included. Only papers focusing on true non-traumatic atlantoaxial subluxation were included. Results: Seventy-one papers have been published from 1950 to 2006. Forty-eight of these fulfilled our inclusion criteria, totaling 103 patients for review. The main causes of Grisel's syndrome were infection (48%) and post-adenotonsillectomy (31%). Less common causes included other postoperative cases such as pharyngoplasty and ear operations. Neurosurgical consultation was paramount in all cases. In the majority of cases conservative management in the form of bedrest, antibiotics, muscle relaxants, traction and collar was effective; in a few cases only surgery in the form of arthrodesis was deemed necessary. Morbidity was significant in those cases where diagnosis was delayed, with the most devastating consequence a permanent neurological deficit in one case. Conclusions: Grisel's syndrome is a rare but dangerous complication that can go unnoticed in its early phase and can be a major cause of morbidity and mortality following infection or head and neck procedures/interventions. Early recognition of any cervical complication following routine otolaryngological operations together with early neurosurgical consultation is mandatory to prevent devastating consequences. (C) 2007 Elsevier Ireland Ltd. All rights reserved.en
heal.journalNameInternational Journal of Pediatric Otorhinolaryngologyen
heal.journalTypepeer-reviewed-
heal.fullTextAvailabilityTRUE-
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