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Objectives: To discuss the pathophysiology of atlanto-axial subluxation as a rare complication of tonsillectomy, and to discuss the important radiological findings for diagnosis and treatment planning. Case report: We report a case of post-tonsillectomy atlanto-axial subluxation, also known as Grisel's syndrome, in a child. On the third day after surgery, the boy presented with torticollis with no neurological deficit. Rotatory atlantoaxial subluxation was clearly shown in computed tomographydoi:10.1017/s0022215112000175 pmid:22361094 fatcat:cklwwzvxtffs5cd6d5m6wqi46y