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Intradural cervical disc herniation in a Klippel-Feil patient.
Spine (Phila Pa 1976) 2007; 32(21):E608-10S

Abstract

STUDY DESIGN

Case report and clinical discussion.

OBJECTIVE

To describe a rare case of intradural cervical disc herniation in a patient with Klippel-Feil syndrome (KFS).

SUMMARY OF BACKGROUND DATA

KFS is a congenital spinal malformation characterized by the failure in segmentation of 2 or more cervical vertebrae. The development of a cervical disc herniation in a nonfused segment is uncommon. Intradural disc herniation is rare, with only 21 cases reported in the cervical region.

METHODS

We present a case of a 52-year-old woman with KFS (C5-C6 fusion) who developed acute radiculopathy secondary to an intradural cervical disc herniation. Neurologic examination revealed a mild (Grade 3/5) decrease in motor function of the fingers and difficulty in performing fine motor tasks with right hand.

RESULTS

The patient underwent microsurgical removal of the herniated disc via an anterior approach followed by interbody fixation and anterior plating; exploration of the surgical field revealed 2 intradural disc fragments. After surgery, she experienced a complete remission of the symptoms.

CONCLUSION

To our knowledge, this is the first case of intradural cervical disc herniation in a KFS patient described in the literature.

Authors+Show Affiliations

Department of Neurosurgery, San Giovanni Addolorata Hospital, Rome, Italy.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17906562

Citation

Neroni, Massimiliano, et al. "Intradural Cervical Disc Herniation in a Klippel-Feil Patient." Spine, vol. 32, no. 21, 2007, pp. E608-10.
Neroni M, Gazzeri R, Galarza M, et al. Intradural cervical disc herniation in a Klippel-Feil patient. Spine. 2007;32(21):E608-10.
Neroni, M., Gazzeri, R., Galarza, M., & Alfieri, A. (2007). Intradural cervical disc herniation in a Klippel-Feil patient. Spine, 32(21), pp. E608-10.
Neroni M, et al. Intradural Cervical Disc Herniation in a Klippel-Feil Patient. Spine. 2007 Oct 1;32(21):E608-10. PubMed PMID: 17906562.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intradural cervical disc herniation in a Klippel-Feil patient. AU - Neroni,Massimiliano, AU - Gazzeri,Roberto, AU - Galarza,Marcelo, AU - Alfieri,Alex, PY - 2007/10/2/pubmed PY - 2007/12/6/medline PY - 2007/10/2/entrez SP - E608 EP - 10 JF - Spine JO - Spine VL - 32 IS - 21 N2 - STUDY DESIGN: Case report and clinical discussion. OBJECTIVE: To describe a rare case of intradural cervical disc herniation in a patient with Klippel-Feil syndrome (KFS). SUMMARY OF BACKGROUND DATA: KFS is a congenital spinal malformation characterized by the failure in segmentation of 2 or more cervical vertebrae. The development of a cervical disc herniation in a nonfused segment is uncommon. Intradural disc herniation is rare, with only 21 cases reported in the cervical region. METHODS: We present a case of a 52-year-old woman with KFS (C5-C6 fusion) who developed acute radiculopathy secondary to an intradural cervical disc herniation. Neurologic examination revealed a mild (Grade 3/5) decrease in motor function of the fingers and difficulty in performing fine motor tasks with right hand. RESULTS: The patient underwent microsurgical removal of the herniated disc via an anterior approach followed by interbody fixation and anterior plating; exploration of the surgical field revealed 2 intradural disc fragments. After surgery, she experienced a complete remission of the symptoms. CONCLUSION: To our knowledge, this is the first case of intradural cervical disc herniation in a KFS patient described in the literature. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/17906562/Intradural_cervical_disc_herniation_in_a_Klippel_Feil_patient_ L2 - http://dx.doi.org/10.1097/BRS.0b013e3181558361 DB - PRIME DP - Unbound Medicine ER -