• Fumihito Nozaki, Takashi Kusunoki, Yoshihide Tomoda, Ikuko Hiejima, Anri Hayashi, Tomohiro Kumada, Tomoko Miyajima, Tohru Futami, and Tatsuya Fujii.
• Department of Pediatrics, Shiga Medical Center for Children, 5-7-30 Moriyama, Moriyama, Shiga 524-0022, Japan. nozaki-kgw@umin.ac.jp
• Eur. J. Pediatr. 2013 Jan 1;172(1):119-21.

UnlabelledGrisel 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.ConclusionPediatricians should be aware of Grisel syndrome as a possible complication of Kawasaki disease.

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