{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:34:05Z","timestamp":1768444445900,"version":"3.49.0"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2012,2,24]],"date-time":"2012-02-24T00:00:00Z","timestamp":1330041600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215112000175_sec1\"><jats:title>Objectives:<\/jats:title><jats:p>To discuss the pathophysiology of atlanto-axial subluxation as a rare complication of tonsillectomy, and to discuss the important radiological findings for diagnosis and treatment planning.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112000175_sec2\"><jats:title>Case report:<\/jats:title><jats:p>We report a case of post-tonsillectomy atlanto-axial subluxation, also known as Grisel's syndrome, in a child. On the third day after surgery, the boy presented with torticollis with no neurological deficit. Rotatory atlanto-axial subluxation was clearly shown in computed tomography scans of the neck. Cervical traction for one week successfully reduced the subluxation, with no long-term sequelae.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215112000175_sec3\"><jats:title>Conclusion:<\/jats:title><jats:p>Pre-existing cervical ligamentous laxity and post-operative infection are believed to be the main causes of Grisel's syndrome. Although it is rare, patients are advised to seek treatment early if any neck pain or fever persists. Early diagnosis is important for better treatment outcome. Initial conservative measures are advised before more invasive cervical traction is adopted.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215112000175","type":"journal-article","created":{"date-parts":[[2012,2,24]],"date-time":"2012-02-24T07:00:07Z","timestamp":1330066807000},"page":"529-531","source":"Crossref","is-referenced-by-count":13,"title":["Grisel's syndrome: a rare complication of tonsillectomy"],"prefix":"10.1017","volume":"126","author":[{"given":"K J","family":"Sia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I P","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C K L","family":"Kong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Nasriah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2012,2,24]]},"reference":[{"key":"S0022215112000175_ref1","first-page":"50","article-title":"Enucleation of the atlas and nasopharyngeal torticollis [in French]","volume":"38","author":"Grisel","year":"1930","journal-title":"La Presse Med"},{"key":"S0022215112000175_ref6","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466040-00012"},{"key":"S0022215112000175_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s007010100018"},{"key":"S0022215112000175_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e31817ac55"},{"key":"S0022215112000175_ref4","doi-asserted-by":"publisher","DOI":"10.1177\/000348948709600620"},{"key":"S0022215112000175_ref9","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/j.otohns.2005.07.008","article-title":"Does increased electrocautery during adenoidectomy lead to neck pain?","volume":"133","author":"Lakeisha","year":"2005","journal-title":"Otolaryngol Head Neck Surg"},{"key":"S0022215112000175_ref2","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1177\/014556130408300814","article-title":"Grisel's syndrome: the two hits hypothesis","volume":"83","author":"Battiata","year":"2004","journal-title":"Ear Nose Throat J"},{"key":"S0022215112000175_ref3","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197759010-00005"},{"key":"S0022215112000175_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2007.07.002"},{"key":"S0022215112000175_ref7","volume-title":"The Nervous System of the Human Body, Embracing the Papers Delivered to the Royal Society on the Subject of the Nerves","author":"Bell"},{"key":"S0022215112000175_ref8","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-23-275-672"},{"key":"S0022215112000175_ref11","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1007\/s00540-010-0932-3","article-title":"Significance of prevention and early treatment of a postoperative twisted neck: atlantoaxial rotatory subluxation after head and neck surgery","volume":"24","author":"Byeoknyeon","year":"2010","journal-title":"J Anesth"},{"key":"S0022215112000175_ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-010-1241-z"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215112000175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,24]],"date-time":"2019-06-24T02:45:11Z","timestamp":1561344311000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215112000175\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2,24]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,5]]}},"alternative-id":["S0022215112000175"],"URL":"https:\/\/doi.org\/10.1017\/s0022215112000175","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,2,24]]}}}