Bilateral Multilevel Cervical Rib and Bilateral Omovertebra in Klippel-Feil Syndrome

Satış, Serap; Alparslan, Nur; Tuna, Mustafa Bilal; Dere, Osman; Yetişgin, Alparslan

doi:10.1016/j.wneu.2020.01.010

Cited by 10 publications

(11 citation statements)

References 8 publications

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“…Hox gene mutations are to blame for the emergence of cervical ribs (9). Galen and Vesalius provided a detailed description of the cervical rib for the first time (10).Although cervical ribs are often located on the left side of the body, the right side is utilized more frequently; hence the symptom first appeared there (10,11). The left side likewise showed signs of development earlier in our case study.…”

Section: Discussionmentioning

confidence: 53%

“…The symptoms affect women more commonly than men do. Todd notes in his study that increased chest mobility in women is one determinant for developing cervical ribs (10). It is also said that abnormalities are more common in women (12).…”

Section: Discussionmentioning

confidence: 99%

“…When patients are encouraged to get a chest or neck X-ray for another reason, it is typically asymptomatic and only becomes apparent. Both vascular and neurogenic symptoms are present in symptomatic individuals (10).In addition to the discomfort that radiates into the hand and paresthesias, neurogenic symptoms can include weakness and deterioration of the muscles on the afflicted side (limb and hand). Coldness, swelling, and bluish discoloration of the limb are all vascular signs.…”

Section: Discussionmentioning

confidence: 99%

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Transaxillary Approach for Thoracic Outlet Syndrome Case Report

Umar¹,

Khan²,

Naseer³

et al. 2022

PJMHS

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The brachial plexus and subclavian arteries are compressed when the thoracic outlet is expelled, resulting in the clinical disease known as Thoracic Outlet Syndrome (TOS). These disorders have various etiological causes, including cervical rib, and can damage the nervous system or blood vessels. The cervical rib, which develops from the seventh cervical vertebra and is thought to be abnormal, extra, or congenitally overdeveloped, is the main factor contributing to thoracic outlet syndrome (TOS). The transaxillary method developed by Roos, which is conservative and offers great exposure to the neurovascular structures with good aesthetic outcomes, is one of several surgical procedures employed for treating TOS. We present a case of a 43-year-old man with a cervical rib who complained of progressive pain and paresthesias in his left upper limb and presented to us in Ghurki Trust and Teaching Hospital Lahore . We removed the cervical rib and stented the Subclavian to the Brachial artery using a transaxillary approach. Keywords: Cervical Ribs, Transaxillary approach, Thoracic outlet syndrome

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Transaxillary Approach for Thoracic Outlet Syndrome Case Report

Umar¹,

Khan²,

Naseer³

et al. 2022

PJMHS

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“…Other comorbidities include rib abnormalities, hearing impairment, and genitourinary abnormalities [13]. In rare cases, KFS has been reported in association with a spinal neurenteric cyst [14], craniocervical dermoid cyst [15], and bilateral multilevel cervical ribs and omovertebra [16].…”

Section: Discussionmentioning

confidence: 99%

Images in Spine: A Rare Abnormal Bony Fusion

Mahajan¹,

Labak²,

Labak³

et al. 2021

Cureus

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Klippel-Feil syndrome (KFS) is characterized by failed segmentation of the cervical spine leading to inappropriately fused vertebral bodies. A 64-year-old male with a previous L5-S1 decompression presented with significant neck pain with radiation into the entire right upper extremity and hand. Imaging demonstrated fusion of the vertebral bodies at C2-3, C4-6, and C7-T1 with associated disc bulges at C3-4 and C6-7. Common presentation of KFS includes significant spondylosis and cervical myeloradiculopathy in addition to the classic triad of short neck, low posterior hairline, and restricted neck motion. We present exemplary images of this rare condition to aid clinicians in future diagnoses.

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“…However, studies have shown that ,50% of such patients exhibit the clinical triad findings 2,3 . Clinical findings vary and can include cardiovascular, pulmonary, genitourinary, otolaryngologic (including hearing loss), gastrointestinal, neurologic, and integumentary abnormalities as well as musculoskeletal problems [4][5][6][7][8][9][10][11][12][13][14] .…”

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confidence: 99%

Klippel-Feil Syndrome

2022

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Klippel-Feil syndrome (KFS) is a rare multisystem constellation of findings with congenital cervical fusion as the hallmark. The etiology is not fully understood.» Recent studies have indicated that KFS is more prevalent than previously described.» Hypermobility in the nonfused segments may lead to adjacent segment disease and potential disc herniation and myelopathy after minor trauma.» Most patients with KFS are asymptomatic and can be managed nonoperatively. Surgical treatment is reserved for patients presenting with pain refractory to medical management, instability, myelopathy or radiculopathy, or severe adjacent segment disease.» Patients with craniocervical abnormalities and upper cervical instability should avoid contact sports as they are at increased risk for spinal cord injury after minor trauma.

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Bilateral Multilevel Cervical Rib and Bilateral Omovertebra in Klippel-Feil Syndrome

Cited by 10 publications

References 8 publications

Transaxillary Approach for Thoracic Outlet Syndrome Case Report

Transaxillary Approach for Thoracic Outlet Syndrome Case Report

Images in Spine: A Rare Abnormal Bony Fusion

Klippel-Feil Syndrome

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