Abstract
BackgroundKlippel-Feil syndrome (KFS) is a congenital malformation causing fusion of at least two cervical vertebrae and characterized clinically by presence of triad of short neck, limited neck movements, and low posterior hair line. Various skeletal and non-skeletal anomalies may be seen in association with KFS.Case presentationWe present a case of 6-year-old boy of KFS with various skeletal anomalies such as multiple segmentation and formation anomalies of the spine including anomalies of craniovertebral junction (CVJ), spina bifida occulta, scoliosis, Sprengel deformity of right shoulder, and multiple rib anomalies, as well as neurological anomalies like Dandy-Walker spectrum and atretic occipital cephalocele.ConclusionTo the best of our knowledge, association of such extensive skeletal anomalies and Dandy-Walker spectrum with KFS has been uncommonly reported in the literature. This case highlights the importance of knowledge of various common and uncommon associations of KFS to avoid missing significant anomalies.
Highlights
Klippel-Feil syndrome (KFS) is a congenital malformation causing fusion of at least two cervical vertebrae and characterized clinically by presence of triad of short neck, limited neck movements, and low posterior hair line
The parents were explained about the prognosis of associated anomalies and are put on follow-up for further management of scoliosis and planned excision of atretic cephalocele
Feil classified KFS into 3 types based on the degree of involvement as type I, type II, and type III
Summary
The radiologists while evaluating a case of Klippel-Feil syndrome should be aware of the full possible spectrum of associated skeletal and non-skeletal anomalies which guides the treatment planning and has prognostic significance.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have