Grisel syndrome, also known as nasopharyntic torticollis is a combination of a torticollis and nasopharingitis, describes first time in 1830 by bell and taken over by grisel in 19305which descibed two observations in two children complicated renopharyngitis since this syndrome bears his name.characterized clinically by sudden probing and radiographically by an enucleation of the atlas innon traumatic dislocation- rotating position . physiopathologically is caused by the inflammatory contracture of the prevertebral muscles whose origin could be a spontaneous or post opérative infection of the NTE area.This acute febrile torticollis is a rare affection mainly affects the child with an estimated age range between 8 months to 12 years, few cases are reported by literature concerning adults.Diagnosis should be realized early in order to avoid neurological restoration which cannot be carried out with certainty that other diagnoses of febril torticollis are eliminatedThe treatment is simple, the prognosis is often favorable with an adequate and early attitude directed towards the causal agent while restoring the spinal stabilit.