Klippel-Feil Syndrome With Auxiliary Anterior Cervical Meningomyelocele and Thoracic Syringomyelia: A Case Report

Spine
Mehtab AlamSajjad Ullah

Abstract

Case report. Since this is the first ever case of a male patient with Klippel-Feil syndrome (KFS) with anterior cervical meningomyelocele and syringomyelia. All four previously reported cases were female patients. This makes this case unique. KFS with auxiliary anterior cervical meningomyelocele is a rare entity. To the best of our knowledge so far only four cases are reported. A 22-year-old male patient was presented to neurology outpatient department with 2-year history of left hand paresthesia and progressive weakness. The diagnostic evaluation showed KFS with auxiliary anterior cervical meningomyelocele and thoracic syringomyelia. Patient was sent to neurosurgery department for intervention. After discussing the possible risks and complications of intervention he opted for conservative therapy and declined the surgery. The paucity of data is the key reason for any recommended protocol for management of such patients but the available literature recommends neurosurgical intervention in symptomatic patients. 5.

References

Aug 29, 2009·AJNR. American Journal of Neuroradiology·G Balachandran
Dec 14, 2011·Journal of Neurosurgery. Spine·Jun JiangYong Qiu
Apr 13, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Benjamin BrokinkelMark Klingenhöfer
Apr 30, 2015·The Neuroradiology Journal·Mathew J GallagherSimon R Clark
Jun 30, 2016·Scoliosis and Spinal Disorders·Dino SamartzisFrancis H Shen
Jun 20, 2017·Case Reports in Neurology·Anna Sadnicka, Simon F Farmer

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