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Platybasia and Klippel Feil-syndrome: case report.
Acta Clin Croat 2012; 51(2):255-9AC

Abstract

A case is presented of a 35-year-old woman diagnosed with platybasia associated with Klippel-Feil syndrome type I. She was admitted to University Department of Neurology for clinical examination because of walking difficulties, dizziness, and intermittent vision disturbances. Neurological examination revealed a predominance of cerebellar symptomatology. Relevant diagnostic work-up included craniogram, cervical spine x-ray, computed tomography (CT) of the brain and craniocervical junction, magnetic resonance imaging of the brain, electroencephalography, ophthalmologic examination, urinary tract ultrasonography, laboratory tests, and psychological testing. CT of the craniocervical junction showed platybasia, congenital fusion of the second and third cervical vertebrae, and basilar invagination of dens axis. Platybasia is leveling of the angle between the floor of the anterior cranial fossa and posterior cranial fossa in the area of sella turcica, which is normally at 115-140 degrees. Basilar impression or invagination is moving up of the basis of the occiput and occipital condyles into the cranium, which means that the borders of the foramen magnum, condyles and adjacent bone are invaginated into the posterior fossa. Klippel-Feil syndrome type II is massive fusion of two of seven cervical vertebrae associated with short neck and low hair line.

Authors+Show Affiliations

University Department of Neurology, Sarajevo University Clinical Center, Sarajevo, Bosnia and Herzegovina. azra_alajbegovic@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

23115951

Citation

Alajbegović, Azra, et al. "Platybasia and Klippel Feil-syndrome: Case Report." Acta Clinica Croatica, vol. 51, no. 2, 2012, pp. 255-9.
Alajbegović A, Kovac F, Delilović-Vranić J, et al. Platybasia and Klippel Feil-syndrome: case report. Acta Clin Croat. 2012;51(2):255-9.
Alajbegović, A., Kovac, F., Delilović-Vranić, J., Tirić-Campara, M., & Alajbegović, S. (2012). Platybasia and Klippel Feil-syndrome: case report. Acta Clinica Croatica, 51(2), pp. 255-9.
Alajbegović A, et al. Platybasia and Klippel Feil-syndrome: Case Report. Acta Clin Croat. 2012;51(2):255-9. PubMed PMID: 23115951.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Platybasia and Klippel Feil-syndrome: case report. AU - Alajbegović,Azra, AU - Kovac,Fehma, AU - Delilović-Vranić,Jasminka, AU - Tirić-Campara,Merita, AU - Alajbegović,Salem, PY - 2012/11/3/entrez PY - 2012/11/3/pubmed PY - 2012/12/10/medline SP - 255 EP - 9 JF - Acta clinica Croatica JO - Acta Clin Croat VL - 51 IS - 2 N2 - A case is presented of a 35-year-old woman diagnosed with platybasia associated with Klippel-Feil syndrome type I. She was admitted to University Department of Neurology for clinical examination because of walking difficulties, dizziness, and intermittent vision disturbances. Neurological examination revealed a predominance of cerebellar symptomatology. Relevant diagnostic work-up included craniogram, cervical spine x-ray, computed tomography (CT) of the brain and craniocervical junction, magnetic resonance imaging of the brain, electroencephalography, ophthalmologic examination, urinary tract ultrasonography, laboratory tests, and psychological testing. CT of the craniocervical junction showed platybasia, congenital fusion of the second and third cervical vertebrae, and basilar invagination of dens axis. Platybasia is leveling of the angle between the floor of the anterior cranial fossa and posterior cranial fossa in the area of sella turcica, which is normally at 115-140 degrees. Basilar impression or invagination is moving up of the basis of the occiput and occipital condyles into the cranium, which means that the borders of the foramen magnum, condyles and adjacent bone are invaginated into the posterior fossa. Klippel-Feil syndrome type II is massive fusion of two of seven cervical vertebrae associated with short neck and low hair line. SN - 0353-9466 UR - https://www.unboundmedicine.com/medline/citation/23115951/Platybasia_and_Klippel_Feil_syndrome:_case_report_ L2 - http://www.diseaseinfosearch.org/result/4013 DB - PRIME DP - Unbound Medicine ER -