Abstract

A 59-year-old female complained palpitation in the morning. She was found in unconsciousness by her family and transported to our department. Her past history was she had torticollis, unilateral renal agenesis and dextrocardia since her birth. She had limited range of motion of bilateral brachiums and left hand dysesthesia due to torticollis since over 50-years-old. On arrival, she was in coma state with severe hypoxia and hypercapnia. Initially, she underwent diagnosis of status epileptic and/or over dose inducing coma, acute lung failure and liver dysfunction.

Highlights

  • Klippel-Feil syndrome presents with an abnormal fusion of 2 or more bones in the cervical spine

  • We here in report a case of repetitive consciousness disturbance with hypercapnia due to nonconvulsive status epilepticus in Klippel-Feil Syndrome

  • As every trial of ceasing mechanical ventilation resulted in failure so that we decided to infusion of butanamide for the patient on the 43rd hospital day

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Summary

Introduction

Klippel-Feil syndrome presents with an abnormal fusion of 2 or more bones in the cervical spine. We here in report a case of repetitive consciousness disturbance with hypercapnia due to nonconvulsive status epilepticus in Klippel-Feil Syndrome. *Corresponding author: Youichi Yanagawa, Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, 1129 Nagaoka, Izunokuni City, Shizuoka, 410-2295, Japan, Tel: 055-948-3111 She underwent diagnosis of status epileptic and/or overdose inducing coma, acute lung failure due to aspiration pneumonia and atelectasis, and liver dysfunction.

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