What causes Grisel syndrome?

The syndrome may result from any inflammatory process of the head and neck. The most common etiologies 2 are as follows: upper respiratory tract infections. tonsillectomy/adenotonsillectomy.

Is it normal to have a stiff neck after tonsillectomy?

Throat pain, ear pain, neck stiffness, and headache are all commonly experienced after tonsillectomy. A liquid pain medicine is usually prescribed. We recommend that you take the medication regularly during the first few days after surgery and don’t wait for the pain to become severe.

Why does my neck hurt after tonsillectomy?

The neck symptoms and headache are due to inflammation and spasm of the paraspinal muscles in the back of the neck attached to the region where the adenoid tonsil was removed. Excessive pain in this region usually is a sign of inadequate anti-inflammatory pain medication.

How common is Grisel syndrome?

Grisel’s syndrome involves the subluxation of the atlantoaxial joint from inflammatory ligamentous laxity following an infectious process. Even though it was first described in 1830, it is a rare disease usually affecting children, but infrequent adult cases do occur.

What is a Grisel?

Grisel’s syndrome is a rare syndrome characterized by nontraumatic rotatory subluxation of the atlantoaxial joint. It usually affects children and typically presents with torticollis after ear, nose, and throat (ENT) surgery or head and neck infections.

Does not having tonsils make you immunocompromised?

Some studies demonstrated that tonsillectomy decreased the levels of serum IgA, especially in children, several months or years after operation, but do not cause significant immune deficiency and increase incidence of immunomodulated diseases, such as infections of the upper respiratory tract.

Can removing tonsils cause autoimmune disease?

The increased incidence was largely consistent irrespective of gender, age at operation, and underlying indications of tonsillectomy. Conclusions: The incidence of a group of autoimmune diseases was higher in individuals operated with a tonsillectomy.

What are the symptoms of Grisel’s syndrome?

Grisel’s syndrome is a nontraumatic atlantoaxial subluxation which is usually secondary of an infection or an inflammation at the head and neck region. It can be observed after surgery of head and neck region. Etiopathogenesis has not been clearly described yet, but increased looseness of paraspinal ligament is thought to be responsible.

What kind of subluxation is Grisel’s syndrome?

Grisel’s syndrome is a nontraumatic atlantoaxial subluxation which is usually secondary of an infection or an inflammation at the head and neck region. It can be observed after surgery of head and neck region.

How did Charles Bell describe Grisel’s syndrome?

Grisel’s syndrome that is known as the subluxation of atlas and axis was firstly described by Sir Charles Bell in 1830 in a syphilitic patient with pharyngeal ulceration. Bell reported death in this patient by spinal cord compression due to atlanto-axial subluxation and autopsy report showed the erosion of the axis transverse ligament [1–3].