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创伤后颈部疼痛揭示的Klippel-Feil综合征:病例报告及文献综述

Klippel-Feil syndrome revealed by post-traumatic neck pain: Case report and literature review.

作者信息

Kadiri Salma El, Bqaq Ibtissam El, Qajia Hind, Izi Zyneb, Chat Latifa, Jiddane Mohammed, Touarsa Firdaous, Haddad Siham El

机构信息

Pediatric Radiology Department, Mother and Child Hospital, Rabat, Morocco.

Neuroradiology Service, Specialty Hospital, Rabat, Morocco.

出版信息

Radiol Case Rep. 2025 Aug 23;20(11):5686-5690. doi: 10.1016/j.radcr.2025.07.056. eCollection 2025 Nov.

Abstract

Klippel-Feil syndrome (KFS) is a congenital anomaly involving the fusion of two or more cervical vertebrae. It is characterized by a low hairline at the nape of the neck, a short neck, and a limited range of motion. Here, we present the case of a 10-year-old girl who suffered brain trauma in a motor vehicle accident and subsequently experienced persistent occipital headaches and dizziness. A brain computed tomography scan performed to evaluate these symptoms revealed incomplete fusion of two cervical vertebrae (C2-C3), leading to a diagnosis of KFS. Magnetic resonance imaging of the spine was conducted to investigate potential spinal abnormalities. In this article, we discuss the pathogenesis, associated abnormalities, subtypes, complications, and differential diagnosis of KFS. There is no cure for KFS. Treatment requires a multidisciplinary approach involving neurologists, orthopedic surgeons, pediatricians, physical therapists, and neurosurgeons, depending on the severity of the symptoms.

摘要

克-费综合征(KFS)是一种涉及两个或更多颈椎融合的先天性异常。其特征为颈后部发际线低、颈部短以及活动范围受限。在此,我们报告一例10岁女孩的病例,该女孩在机动车事故中遭受脑外伤,随后持续出现枕部头痛和头晕。为评估这些症状而进行的脑部计算机断层扫描显示两个颈椎(C2-C3)融合不全,从而诊断为KFS。进行了脊柱磁共振成像以调查潜在的脊柱异常。在本文中,我们讨论了KFS的发病机制、相关异常、亚型、并发症及鉴别诊断。KFS无法治愈。治疗需要多学科方法,根据症状的严重程度,涉及神经科医生、骨科医生、儿科医生、物理治疗师和神经外科医生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3a1/12397812/a14aa114724e/gr1.jpg

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