Logo image
Rubral lateropulsion due to vertebral artery dissection in a patient with Klippel-Feil syndrome
Journal article   Open access   Peer reviewed

Rubral lateropulsion due to vertebral artery dissection in a patient with Klippel-Feil syndrome

Morvarid KARIMI, Mehrdad RAZAVI and Deema FATTAL
Archives of neurology (Chicago), Vol.61(4), pp.583-585
2004
DOI: 10.1001/archneur.61.4.583
PMID: 15096409
url
https://doi.org/10.1001/archneur.61.4.583View
Published (Version of record) Open Access

Abstract

Background: Neurologic deficits in patients with Klippel-Feil syndrome usually are attributed to direct compression of neuronal structures or hypoperfusion secondary to compression of the vertebral arteries by bony abnormalities. Objective: To describe a 38-year-old woman with known Klippel-Feil syndrome who developed lateropulsion. Results: The results of magnetic resonance imaging were consistent with rubrothalamic stroke. The cerebral angiogram confirmed vertebral artery dissection at the level of her previously observed bony abnormality. Conclusions: Hypermobility adjacent to fused vertebrae subjects the vertebral artery to increased shear forces. Thus, Klippel-Feil syndrome may be a predisposing factor for vertebral artery dissection. Moreover, to our knowledge, this case represents the second known case of rubral lateropulsion.
Neurology Biological and medical sciences Medical sciences

Details

Metrics

Logo image