Turkish Neurosurgery 2005 , Vol 15 , Num 1
Surgical Management of a Klippel-Feil Patient with Basilar Invagination and an Intramedullary lipoma: A Case Report
Emel AVCI1, Timothy BURKE2, Damirez FOSSETT2
1Department of Neurosurgery, Harran University, anlurfa, Turkey
2Department of Neurosurgery, George Washington University, Washington D.C./USA
Patients with Klippel-Feil syndrome (KFS) and associated craniocervical junction abnormalities are at high risk for the development of progressive neurologic deficits. A 60-year-old male patient with Klippel-Feil syndrome was admitted to the emergency room with an 8-year history of a progressive spastic quadraparesis which began with numbness in the right lower extremity. Neurologic status of the patient improved significantly following posterior decompression and stabilization. Dramatic resolution of his myelopathy with the initial procedure led to postponing the second procedure. Early postoperative improvement in neurologic function after the initial procedure may be misleading. For this reason, the two-staged ventral and dorsal decompression was suggested for the restoration and preservation of neurologic function. Keywords : Klippel-Feil Syndrome, lipoma, basilar invagination, surgical management
Corresponding author : Emel Avc, avciemel@hotmail.com