| Klippel-Feil syndrome presenting with bilateral thoracic outlet syndrome. | |
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MedLine Citation:
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PMID: 15105685 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY DESIGN: This report aims, in the light of the recent literature, to describe the clinical features of bilateral thoracic outlet syndrome in a case of Klippel-Feil syndrome, the results of electrophysiologic evaluation, and the outcome after surgical intervention. OBJECTIVES: Cervical ribs in the context of Klippel-Feil syndrome as the cause of bilateral thoracic outlet syndrome is discussed. SUMMARY OF BACKGROUND DATA: In Klippel-Feil syndrome, congenital fusion of cervical vertebrae occurs and may also be associated with various anomalies, including musculoskeletal anomalies. The typical neurologic defects in this syndrome are caused by compression of the cervical cord and/or the corresponding roots. METHODS: A 25-year-old woman had experienced, for 3 years, sensory symptoms, mainly numbness and pain, in both arms and episodic color changes of the hands that were aggravated by certain activities. RESULTS: Radiologic examination revealed Klippel-Feil syndrome type I, accompanied by bilateral cervical ribs. Electrophysiologic evaluation demonstrated impairment of nerve conduction, as indicated by F wave changes, after the arms were raised. The patient underwent successful decompression of the neurovascular structures at the thoracic aperture. CONCLUSIONS: It is often difficult to diagnose thoracic outlet syndrome by conventional neurophysiology. Dynamic changes in F waves appear to be a useful finding. In the absence of symptoms of myeloradiculopathy, thoracic outlet syndrome could be the sole manifestation of Klippel-Feil syndrome. |
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Authors:
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Dimitris T Konstantinou; Elisabeth Chroni; Constatinos Constantoyiannis; Dimitris Dougenis |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Spine Volume: 29 ISSN: 1528-1159 ISO Abbreviation: Spine Publication Date: 2004 May |
Date Detail:
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Created Date: 2004-04-23 Completed Date: 2004-06-02 Revised Date: 2009-07-09 |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: United States |
Other Details:
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Languages: eng Pagination: E189-92 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, University of Patras, Rio, Greece. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abnormalities, Multiple
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diagnosis,
surgery Adult Arnold-Chiari Malformation / complications, diagnosis Cervical Vertebrae / abnormalities*, radiography, surgery Electrodiagnosis Female Humans Klippel-Feil Syndrome / complications*, diagnosis* Magnetic Resonance Imaging Reoperation Thoracic Outlet Syndrome / complications*, diagnosis*, surgery Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Spine (Phila Pa 1976). 2005 Jun 15;30(12):1473; author reply 1473-4
[PMID:
15959383
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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