J Korean Pediatr Soc.
2001 May;44(5):597-601.
A Case of Klippel-Feil Syndrome
- Affiliations
-
- 1Department of Family Medicine, Kunsan Medical Center, Kunsan, Korea.
- 2Department of Neurosurgery, Kunsan Medical Center, Kunsan, Korea.
- 3Department of Dentistry , Kunsan Medical Center, Kunsan, Korea.
- 4Department of Pediatrics, Kunsan Medical Center, Kunsan, Korea.
Abstract
-
Klippel-Feil syndrome(KFS) consists of short neck, low posterior hairline and restriction of motion
of the neck due to fusion of cervical vertebrae. The typical disorder results from a failure of the
normal segmentation of mesodermal somites during 3-8 weeks of gestation. In 1912, the first
complete clinical description of this syndrome was given by Klippel and Feil. Feil reported
additional cases in 1919 and distinguished between three morphologic groups. The incidence of
KFS has been estimated to be approximately 1 : 40,000-42,000 births. A slight female predilection
has been noted. Although the disorder is sporadic, there are examples of familial occurrence; how
ever, no clear mechanism of inheritance has been accepted. Since the disturbance producing a short
neck occurs early in embryogenesis, defects in other organ systems may occur at the same time.
Common musculoskeletal anomalies that accompany KFS include scoliosis, as well as Sprengel's
deformity in as many as one-third of cases. Neurologic, cardiovascular, and urinary tract anomalies
are associated with KPS. We report a case of Klippel-Feil syndrome with associates anomalies
include Sprengel's deformity.