期刊
CHILDREN-BASEL
卷 8, 期 5, 页码 -出版社
MDPI
DOI: 10.3390/children8050329
关键词
grisel syndrome; nontraumatic atlantoaxial rotatory subluxation; torticollis; computed tomography; magnetic resonance imaging; imaging protocol
类别
Inflammatory nontraumatic atlantoaxial rotatory subluxation (AAS) in children is often overlooked and requires early diagnosis and evaluation with MRI, especially in children with a history of meningitis or otolaryngological surgery.
Inflammatory nontraumatic atlantoaxial rotatory subluxation (AAS) in children is an often-missed diagnosis, especially in the early stages of disease. Abscess formation and spinal cord compression are serious risks that call for immediate surgical attention. Neither radiographs nor non-enhanced computed tomography (CT) images sufficiently indicate inflammatory processes. Magnetic resonance imaging (MRI) allows a thorough evaluation of paraspinal soft tissues, joints, and ligaments. In addition, it can show evidence of vertebral distraction and spinal cord compression. After conducting a scoping review of the literature, along with scientific and practical considerations, we outlined a standardized pediatric MRI protocol for suspected inflammatory nontraumatic AAS. We recommend contrast-enhanced MRI as the primary diagnostic imaging modality in children with signs of torticollis in combination with nasopharyngeal inflammatory or ear nose and throat (ENT) surgical history.
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