Mubarak Ahmad Iyad, Morani Ajaykumar C
Radiology, The University of Texas MD Anderson Cancer Center, 1515 Holocombe Blvd, Houston, TX 77030, USA.
Radiol Case Rep. 2018 Feb 22;13(2):434-436. doi: 10.1016/j.radcr.2018.01.017. eCollection 2018 Apr.
Klippel-Feil syndrome is an uncommon anomaly that may be asymptomatic. Early clinical signs such as restricted neck motion or short neck can be subtle and incorrectly treated as spasms. High incidence of associated craniovertebral junction (CVJ) anomalies such as occipitalized atlas predisposes them to serious neurologic complications requiring invasive procedures and surgeries. However, these often have anomalous vertebral artery course which is more prone to injury during CVJ procedures, and also sparsely known in radiology literature. We demonstrate the importance of computed tomography angiography in preprocedural planning to avoid catastrophic injury to anomalous vertebral artery at CVJ in such case.
克-费综合征是一种罕见的异常情况，可能没有症状。早期临床体征，如颈部活动受限或短颈，可能很细微，容易被误诊为痉挛而接受不当治疗。其常伴有颅颈交界区（CVJ）异常，如枕骨化寰椎，这使患者易发生严重的神经并发症，需要进行侵入性操作和手术。然而，这些患者的椎动脉走行往往异常，在CVJ手术过程中更容易受伤，且在放射学文献中对此了解甚少。我们证明了计算机断层扫描血管造影在术前规划中的重要性，以避免在此类病例的CVJ手术中对异常椎动脉造成灾难性损伤。
