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Nontraumatic Atlantoaxial Rotary Subluxation in the Pediatric Otolaryngology Patient: A Report of Four Cases
Journal article   Peer reviewed

Nontraumatic Atlantoaxial Rotary Subluxation in the Pediatric Otolaryngology Patient: A Report of Four Cases

J. David Holcomb, Debra M Jaffe, Nancy M Bauman, John H Greinwald and Richard J. H Smith
Annals of otology, rhinology & laryngology, Vol.110(12), pp.1137-1140
12/2001
DOI: 10.1177/000348940111001210
PMID: 11768704

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Abstract

Nontraumatic atlantoaxial rotary subluxation (NAARS) is a relatively uncommon entity, with inconsistent presentations. It most commonly follows infectious processes or operative procedures. We present our experience with 4 pediatric otolaryngology patients with NAARS who were treated at the University of Iowa Hospitals and Clinics during a 2-year period beginning in 1997. A review of the symptoms, physical findings, and radiographic abnormalities is presented. Treatment options, varying from muscle relaxants to surgical fusion, are discussed. A high index of suspicion in evaluating children with a stiff neck or pain on attempted motion is essential in order to facilitate prompt diagnosis and appropriate intervention.
Grisel's syndrome atlantoaxial rotary subluxation

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