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Papers of the Week

2018 Jun

Malawi Med J



Grisel syndrome presenting as hemiplegia in a patient with multifocal sepsis.


Mkochi VL, Mkandawire N
Malawi Med J. 2018 Jun; 30(2):127-131.
PMID: 30627341.


Grisel syndrome is a non-traumatic rotary subluxation of C1 on C2 (atlantoaxial subluxation). It is a rare condition predominantly described in paediatric population with previous history of upper respiratory infections orotolaryngeal procedures. The diagnosis is established by the association of clinical and radiologic findings4,6.We report a case of 15-year old boy with Grisel syndrome accompanying multifocal sepsis (pericarditis, septic polyarthritis, pneumonia and pharangytis ), treated surgically – occipital cervical fusion using struts of iliac crest tri-cortical graft wired to the occiput and C3 and C4.