Document Detail

Klippel-Feil syndrome.
MedLine Citation:
PMID:  1610048     Owner:  NLM     Status:  MEDLINE    
Klippel-Feil syndrome is characterized by congenital fusion of two or more cervical vertebrae and may be associated with other organ system anomalies. Although many congenital anomalies are of little clinical importance to the emergency physician, Klippel-Feil syndrome is associated with both spontaneous and progressive neurologic sequelae as well as a predisposition for serious neurologic injury after relatively minor neck trauma. Such patterns of skeletal abnormalities as an unstable fusion pattern, craniocervical anomalies, and associated spinal stenosis are associated with a higher risk of neurologic sequelae. We report the case of a patient with a previously undiagnosed type II Klippel-Feil syndrome who presented after neck trauma to illustrate how further diagnostic imaging modalities may be required to elucidate the presence or absence of acute injury. Key considerations in the emergency management of such patients include radiographic evaluation for hypermobile cervical segments, the anticipation of difficult tracheal intubation, and proper follow-up and referral because of the associated other organ system anomalies and progression of the skeletal pathology.
B A Smith; C Griffin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of emergency medicine     Volume:  21     ISSN:  0196-0644     ISO Abbreviation:  Ann Emerg Med     Publication Date:  1992 Jul 
Date Detail:
Created Date:  1992-07-23     Completed Date:  1992-07-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8002646     Medline TA:  Ann Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  876-9     Citation Subset:  AIM; IM    
Department of Emergency Medicine, Wilford Hall Medical Center, Lackland Air Force Base, Texas.
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MeSH Terms
Cervical Vertebrae / injuries,  radiography*
Diagnosis, Differential
Klippel-Feil Syndrome / diagnosis,  radiography*
Magnetic Resonance Imaging
Erratum In:
Ann Emerg Med 1992 Oct;21(10):1272

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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