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  • Title: Grisel's syndrome: the two-hit hypothesis--a case report and literature review.
    Author: Battiata AP, Pazos G.
    Journal: Ear Nose Throat J; 2004 Aug; 83(8):553-5. PubMed ID: 15487635.
    Abstract:
    Grisel's syndrome is a rare but well-documented clinical entity. It is a nontraumatic, fixed rotary subluxation of C1 on C2 (atlantoaxial). Although first described in 1830, the exact mechanism of Grisel's syndrome remains unclear. We present a postoperative case of Grisel's syndrome and an extensive literature review, and we propose a mechanism for its pathogenesis. In addition, we propose a treatment algorithm for Grisel's syndrome.
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