The pharyngovertebral veins. An anatomical rationale for Grisel's syndrome

W. W. Parke, R. H. Rothman, Mark Brown

Research output: Contribution to journalArticle

119 Citations (Scopus)

Abstract

Non-traumatic subluxation of the atlanto-axial joint following peripharyngeal inflammation (Grisel's syndrome) has been attributed to laxity of the transverse ligament caused by hyperemia, but a satisfactory anatomical rationale for the association of these conditions has been lacking. Injection of the cervical epidural sinuses of a series of human perinatal cadavera showed retrograde filling of a previously undescribed system of veins with frequent lymphovenous anastomoses. This system appears to drain the posterosuperior pharyngeal region. Because of their direct connection with the periodontoidal venous plexus and the suboccipital epidural sinuses, the pharyngovertebral veins may provide a hematogenous route for the transport of peripharyngeal septic exudates and neoplastic cells to the upper cervical spinal structures and provide an anatomical explanation for the atlanto-axial hyperemia of Grisel's syndrome.

Original languageEnglish
Pages (from-to)568-574
Number of pages7
JournalJournal of Bone and Joint Surgery - Series A
Volume66
Issue number4
StatePublished - Jan 1 1984
Externally publishedYes

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Hyperemia
Veins
Atlanto-Axial Joint
Epidural Injections
Exudates and Transudates
Cadaver
Ligaments
Inflammation

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

The pharyngovertebral veins. An anatomical rationale for Grisel's syndrome. / Parke, W. W.; Rothman, R. H.; Brown, Mark.

In: Journal of Bone and Joint Surgery - Series A, Vol. 66, No. 4, 01.01.1984, p. 568-574.

Research output: Contribution to journalArticle

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