Grisel syndrome, acute otitis media, and temporo-mandibular reactive arthritis: a rare association.

• Author(s): Martins, J ; Almeida, S ; Nunes, P ; Prata, F ; Lobo, ML ; Marques, J
• Date: 2015
• Persistent ID: http://hdl.handle.net/10400.10/1516
• Origin: Repositório do Hospital Prof. Doutor Fernando Fonseca
• Subject(s): Otitis media; Grisel syndrome; Reactive arthritis
• Document Type: Journal article
• Language: English
• Contributor(s): Unidade Local de Saúde Amadora / Sintra

Description

We present a case report of a four-year-old boy with torcicollis and trismus after acute otitis media. Grisel Syndrome diagnosis in association with temporo-mandibular reactive arthritis was admitted, leading to early conservative treatment. GS should be suspected in a child presenting with torticollis after an upper respiratory tract infection or an ENT surgical procedure. The association with temporo-mandibular reactive findings is somehow rarer but not impossible, due to the close vascular communication between retropharyngeal and pterigoid spaces.