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Congenital cervical kyphosis in a child associated with tetraparesis: case report
Viola Van Gorp1, Frederic Dricot, Gerlant van Berlaer
1Pediatric Critical Care Department, Universitair Ziekenhuis Brussel, BE-1090 Brussels, Belgium. Viola.VanGorp@uzbrussel.be
Insights
Congenital cervical kyphosis is a rare condition causing severe neurological deficits in infants. This condition often leads to fatal respiratory failure, with no long-term survivors reported.
Area of Science:
- Pediatric neurology
- Congenital spinal disorders
Background:
- Congenital cervical kyphosis is a rare spinal malformation.
- It presents a significant clinical challenge due to its rarity and severity.
Observation:
- An infant case is presented with tetraparesis, progressing rapidly.
- The infant developed phrenic paralysis and fatal respiratory insufficiency.
Findings:
- Therapeutic interventions for congenital cervical kyphosis are limited and challenging.
- Surgical arthrodesis poses technical difficulties.
- A thermoplastic body splint was previously reported as a treatment option.
Implications:
- The prognosis for congenital cervical kyphosis remains extremely poor.
- There are currently no described long-term survivors.
- Further research into effective treatments is critically needed.
Abstract:
Congenital cervical kyphosis is a rare clinical condition. We describe an infant presenting with tetraparesis, rapidly progressing to phrenic paralysis and fatal respiratory insufficiency. Therapeutic options remain challenging. Surgical arthrodesis is technically difficult, and one report of a therapeutic thermoplastic body splint is described. Final outcome, however, is dismal. No long-term survivors have been described.
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