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Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
Rubral lateropulsion due to vertebral artery dissection in a patient with Klippel-Feil syndrome
Morvarid Karimi1, Mehrdad Razavi, Deema Fattal
1Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, USA. morvaridkarimi@hotmail.com
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.
