The Course of the V2 Segment of the Vertebral Arteries in Klippel-Feil Syndrome: A Case Report.

Cureus. 2018 Jul 24;10(7):e3038. doi: 10.7759/cureus.3038.

Rizvi A, Iwanaga J, Oskouian RJ, Loukas M, Tubbs RS.

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Abstract

Klippel-Feil syndrome is a congenital disorder characterized by the fusion of one or more cervical vertebrae leading to limitations in the rotation, extension, and flexion of the neck and possible neurological symptoms. Other abnormalities can also be found in these patients. The anatomy of the vasculature can be abnormal in these patients including variations in the course and origin of the vertebral arteries potentially leading to intra-operative complications. Herein, we report a case of Klippel-Feil syndrome and detail the course of the vertebral arteries in an osteological specimen.

KEYWORDS:

cervical vertebrae; ct angiography; imaging; klippel-feil syndrome; surgical management; vertebral artery

Figure 1

First row: left, anterior view; middle, posterior view; right, right lateral view. Second row: left, left lateral view; middle, superior view; right, inferior view.

For all images, note the varied course of the V2 segment of the vertebral artery as demonstrated by the red tubing.