RESUMO
UNLABELLED: Grisel syndrome is a non-traumatic atlantoaxial subluxation and a rare complication of any inflammatory condition of the upper neck and otolaryngological procedures. Delayed diagnosis causes neurological impairment, ranging from radiculopathy to paralysis and death. Kawasaki disease is a very frequent and important acute febrile vasculitis of childhood that is seen worldwide, and upper neck involvement (cervical lymphadenopathy) is one of the common symptoms of Kawasaki disease. A case of Grisel syndrome that occurred as a complication of Kawasaki disease is reported. This is the first case report, in English, of Grisel syndrome as a complication of Kawasaki disease. CONCLUSION: Pediatricians should be aware of Grisel syndrome as a possible complication of Kawasaki disease.
Assuntos
Articulação Atlantoaxial , Luxações Articulares/diagnóstico , Luxações Articulares/etiologia , Síndrome de Linfonodos Mucocutâneos/complicações , Pré-Escolar , Feminino , HumanosRESUMO
Two-dimensional multiple-echo data image combination (MEDIC) images, as well as conventional T1-weighted and T2-weighted images, were obtained for 38 infants with developmental dysplasia of the hip. We retrospectively reviewed these images to evaluate subjective image quality and femoral head-to-ischium contrast. MEDIC images were considered to be of high quality compared with the conventional T1-weighted (P<0.0001) and T2-weighted images (P<0.05), as well as have a higher contrast than conventional T1-weighted and T2-weighted images (P<0.001, respectively). In conclusion, MEDIC images provide diagnostic improvement in studies on developmental dysplasia of the hip.