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Inicio Acta Otorrinolaringológica Española Grisel's Syndrome as a Sequela of a Complicated Acute Mastoiditis
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Vol. 64. Issue 2.
Pages 161-164 (March - April 2013)
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Vol. 64. Issue 2.
Pages 161-164 (March - April 2013)
Case Study
Grisel's Syndrome as a Sequela of a Complicated Acute Mastoiditis
Síndrome de Grisel como secuela de una mastoiditis aguda complicada
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Andrés Coca-Pelaza,
Corresponding author
acocapelaz@yahoo.es

Corresponding author.
, Ana Vivanco-Allendeb, Ángela Meilán-Martínezc, Justo R. Gómez-Martíneza
a Servicio de Otorrinolaringología, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
b Servicio de Pediatría, Hospital Carmen y Severo Ochoa, Cangas del Narcea, Asturias, Spain
c Servicio de Radiodiagnóstico, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
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Table 1. Diagnostic Algorithm of Grisel's Syndrome.
Abstract

Grisel's syndrome is a rare complication of ENT area infections. It consists of a non-traumatic atlantoaxial subluxation after an infectious process. Its characteristic symptom is persistent torticollis despite a resolved infection. The knowledge of this condition helps early diagnosis and treatment. We therefore present the case of a patient with Grisel's syndrome as a sequela of an acute mastoiditis complicated by a Bezold's abscess.

Keywords:
Grisel's syndrome
Mastoiditis
Torticollis
Bezold's abscess
Paediatrics
Resumen

El síndrome de Grisel es una complicación infrecuente de las infecciones que afectan al área otorrinolaringológica. Consiste en una subluxación atloaxoidea no traumática, tras un proceso infeccioso. Su síntoma característico es la tortícolis, dolorosa y persistente, a pesar de haber solucionado la infección. El conocimiento de esta patología ayuda al diagnóstico y tratamiento precoz de la misma. Queremos, por lo tanto, presentar el caso de un paciente con un síndrome de Grisel como secuela de una mastoiditis aguda complicada con un absceso de Bezold, a fin de favorecer el conocimiento de este tipo de proceso.

Palabras clave:
Síndrome de Grisel
Mastoiditis
Tortícolis
Absceso de Bezold
Pediatría

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