Grisel syndrome, sigmoid sinus thrombosis and rheumatic carditis: Case report of a rare association

被引：2

作者：

Cucuzza, Maria Elena ^{[1
]}

D'Ambra, Angela ^{[1
]}

Evola, Francesco Roberto ^{[2
]}

Greco, Filippo ^{[1
]}

Smilari, Pierluigi ^{[1
]}

机构：

[1] Univ Catania, Dept Clin & Expt Med, Pediat Clin, Via Santa Sofia 78, I-95123 Catania, Italy

[2] Univ Catania, Orthopaed Clin, Via Pebliscito 626, I-95100 Catania, Italy

来源：

INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY | 2020年 / 129卷

关键词：

Grisel's syndrome; Subluxation cervical joints; Rheumatic carditis; Cerebral venous thrombosis; ATLANTOAXIAL ROTATORY SUBLUXATION; CHILDREN;

D O I：

10.1016/j.ijporl.2019.109774

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Grisel's syndrome (GS) is a non traumatic atlanto-axial rotatory subluxation of C1-C2 joint. A six year old girl, 20 days after an episode of fever, developed a torticollis and a 3/6 heart murmur. The echocardiography showed a Rheumatic Carditis. The Brain and cervical spine Magnetic resonance imaging (MRI) and the Computerized Tomography (CT) showed rotary dislocation of C1-C2 vertebrae, compatible with GS, and cerebral venous thrombosis (CVT). An antibiotic therapy, Prednisone and a low molecular weight heparin for 7 days was pre-scribedfollowed by an oral anticoagulant for 6 months. After a month the MRI showed a reduction of the dislocation and cerebral venous recanalization.

引用

页数：4

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