Background: Grisel`s syndrome is a rare non-traumatic subluxation of atlanto-axial joint. Case Report: We report a case of a 8 years old girl who presented with painful torticollis post adeno-tonsillectomy.  A strong clinical suspicion followed by cervical CT and MRI examination confirmed the diagnosis. The conservative management approach using cervical collar resulted in excellent clinical outcome with resolution of subluxation on follow up. Conclusion: Early intervention and timely diagnosis can achieve full functional recovery with minimal  neurological complications.