Affiliations: Department of Neurosurgery, Firat University, Faculty
of Medicine, Elazig, Turkiye | Department of Radiology, Firat University, Faculty of
Medicine, Elazig, Turkiye
Note: [] Correspondence: Dr. Metin Kaplan, Firat University, Faculty of
Medicine, Department of Neurosurgery, 23200, Elazig, Turkiye. Tel.: +424
2333555 2651; Fax: +424 2388096; E-mail: mtkaplan02@yahoo.com.tr
Abstract: Klippel-Feil syndrome can be seen with bony anomalies of the
craniocervical junction and syringomyelia. However, association of Klippel-Feil
syndrome with upper cervical arachnoid cyst has not been reported previously.
This report demonstrates clinical and radiological features of a case of
Klippel-Feil syndrome complicated by Chiari I malformation, upper cervical
arachnoid cyst and syringomyelia. A 7-year-old girl was evaluated due to
headache, neck pain and restricted cervical movements. Craniocervical
evaluation of the case demonstrated Chiari I malformation, partial fusion
defect at C2-C3, C5-C6 vertebrae, upper cervical arachnoid cyst and
cervicothoracal syringomyelia. Suboccipital craniectomy, C1 laminectomy,
arachnoid cyst excision, and duraplasty with autologous fascia lata were
performed. The headache and the neck pain of the patient improved after the
operation. The arachnoid cyst did not recur.
Keywords: Chiari malformation type I, Klippel-Feil syndrome, syringomyelia, upper cervical arachnoid cyst
