<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282021000100024</article-id>
<article-id pub-id-type="doi">10.29315/gm.v8i1.394</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Síndrome de Grisel como Complicação de Abcesso Parafaríngeo]]></article-title>
<article-title xml:lang="en"><![CDATA[Grisel Syndrome as a Complication of a Parapharyngeal Abscess]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Medeiros]]></surname>
<given-names><![CDATA[Nuno]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valente]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguiar]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Larangeiro]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Condé]]></surname>
<given-names><![CDATA[Artur]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Hospitalar Vila Nova de Gaia/Espinho Otorrinolaringologia ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar Vila Nova de Gaia/Espinho Otorrinolaringologia ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Hospitalar Vila Nova de Gaia/Espinho Otorrinolaringologia ]]></institution>
<addr-line><![CDATA[Vila Nova de Gaia ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>03</month>
<year>2021</year>
</pub-date>
<volume>8</volume>
<numero>1</numero>
<fpage>24</fpage>
<lpage>28</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282021000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282021000100024&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282021000100024&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução: A síndrome de Grisel é uma entidade rara que corresponde a uma subluxação rotatória atlanto-axial não-traumática, por norma secundária a infeção das vias aéreas superiores ou a cirurgia da cabeça e pescoço. Os pacientes apresentam-se com torcicolo, e um grau de suspeição elevado é necessário para o diagnóstico.  Caso clínico: Criança do sexo masculino, 6 anos, admitida por odinofagia, febre e torcicolo. Exame objetivo revelava flexão cervical com rotação para a direita. Tomografia computorizada cervical demonstrava abcesso parafaríngeo e subluxação anterior atlanto-axial de 3 mm, configurando uma subluxação tipo II de Fielding. A criança foi internada para realização de antibioterapia endovenosa, vigilância e imobilização cervical.  Discussão: A síndrome de Grisel é um diagnóstico a considerar numa criança com torcicolo e infeção cervical. Os otorrinolaringologistas devem relembrar-se das possíveis apresentações e fatores de risco para esta síndrome. O tratamento conser vador é muitas vezes suficiente, e a identificação precoce com imobilização parecem levar a melhores outcomes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Grisel syndrome is a rare entity that corresponds to a non-traumatic atlantoaxial rotatory subluxation, usually secondary either to an infection of the upper airway or to a head and neck procedure. Patients usually present with torticollis, and a high index of suspicion is needed for correct diagnosis.  Case report:  A 6-year-old boy was admitted to the ER with sore throat, fever, and torticollis. Clinical examination revealed neck flexion with rotation to the right. Computed tomography scan revealed a parapharyngeal abscess and an anterior displacement of the atlanto-axial joint of 3 mm, configuring a type II of Fielding. The child was admitted for endovenous antibiotic treatment, surveillance, and cervical immobilization.  Discussion:  Grisel syndrome may present in a child with torticollis and neck infection. Otorhinolaryngologists should remember the possible presentations and risk factors for this syndrome. Conservative treatment is often enough, and early identification and immobilization seem to lead to better outcomes.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Atlanto-Axial Joint]]></kwd>
<kwd lng="en"><![CDATA[Child]]></kwd>
<kwd lng="en"><![CDATA[Joint Dislocations]]></kwd>
<kwd lng="en"><![CDATA[Retropharyngeal Abscess]]></kwd>
<kwd lng="en"><![CDATA[Torticollis]]></kwd>
<kwd lng="pt"><![CDATA[Abscesso Retrofaríngeo]]></kwd>
<kwd lng="pt"><![CDATA[Articulação Atlanto-axial]]></kwd>
<kwd lng="pt"><![CDATA[Criança]]></kwd>
<kwd lng="pt"><![CDATA[Luxações Articulares]]></kwd>
<kwd lng="pt"><![CDATA[Torcicolo]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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