Cervical Klippel-Feil syndrome predisposing an elderly African man to central cord myelopathy following minor trauma |
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Authors: | Adeleye A Olufemi Akinyemi R Olusola |
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Institution: | Division of Neurological Surgery, Department of Surgery, College of Medicine, University of Ibadan, Nigeria. femdoy@yahoo.com |
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Abstract: | An otherwise-healthy, active 83-year-old Nigerian man developed reversible central cord myelopathy from a mild fall on a level surface. Cervical spine magnetic resonance imaging (MRI) revealed C5, 6, and 7 block vertebrae and marked disc extrusions only at the immediately adjoining upper and lower non-fused segments of the cervical spine. There was no spinal canal stenosis otherwise. We think that the unique presentation of this case of Klippel-Feil syndrome further supports the impression that following fusion (congenital or acquired) of one segment of the spinal column, hypermobility of the non-fused adjoining segments may strongly predispose to more disc extrusions. |
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Keywords: | Klippel-Feil syndrome Central cord syndrome minor trauma |
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