Journals / Gülhane Tıp Dergisi / 2016 / Cilt: 58 - Sayı: 1

Klippel Feil sendromlu erişkinlerdeki muhtelif organ anormalliklerinin farkında mıyız?

Do we know multifarious organ abnormalities of adults with Klippel-Feil syndrome?

Pages
37–44
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Detailed assessment for possible systemic disorders and close follow-up may be helpful for KFS patients

📌 3 Key Takeaways

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Objective & Hypothesis:Klippel-Feil syndrome (KFS) is characterized by a classical triad (short neck, low posterior hair line, limitation of neck movements).
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Key Findings & Data:Between 2000 and 2011, 120 individuals with facial asymmetry and short neck were evaluated.
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Conclusion & Impact:Detailed assessment for possible systemic disorders and close follow-up may be helpful for KFS patients
🔬Design:Review & Systematic Survey
📍Scope:2000 Verileri
⚙️Variables:Domain Parameters

Abstract

Klippel-Feil syndrome (KFS) is characterized by a classical triad (short neck, low posterior hair line, limitation of neck movements). Segmentation problems of cervical vertebra cause the main clinic in patients, and extraskeletal anomalies are also reported. The aim of this study is to review and emphasize common clinical findings of KFS patients. Between 2000 and 2011, 120 individuals with facial asymmetry and short neck were evaluated. Forty-two adult patients with KFS were included in this study. Patients were assessed for associated skeletal and extraskeletal pathologies. There were 41 male (98%) and 1 female (2%) individuals. Of forty-two patients, thirty-one (n=31; 74%) were classified as type I, nine (n=9; 21%) as type II, and two (n=2; 5%) as type III. Classical clinical triad was detected in all patients. Congenital scoliosis has been observed in all patients except one. Sprengel deformity was observed in 10 individuals (24%). Associated other system disorder ratios were 9.5% for urogenital problems, 23.8% for cardiovascular pathologies and 31% for audiological problems. Spinal and other multi-organ pathologies of patients with KFS may lead to serious problems which may eventually need medical treatment. Detailed assessment for possible systemic disorders and close follow-up may be helpful for KFS patients

Özet

Klippel Feil sendromlu erişkinlerdeki muhtelif organ anormalliklerinin farkında mıyız?Klippel-Feil Sendromu (KFS) klasik bir üçleme ile karakterizedir (kısa boyun, düşük arka saç çizgisi, boyun hareketlerinde kısıtlılık). Asıl klinik tabloya servikal vertebranın segmentasyon problemleri neden olurken, iskelet sistemi dışındaki anomaliler de bildirilmiştir. Bu çalışmada KFS'lu hastalarda yaygın görülen klinik bulguların gözden geçirilmesi ve vurgulanması amaçlanmıştır. 2000-2011 yılları arasında yüz asimetrisi olan ve kısa boyunlu 120 kişi değerlendirilmiştir. 42 KFS'lu erişkin bu çalışmaya dahil edilmiştir. Hastalar iskelet sistemi ve iskelet dışı patolojiler açısından incelenmiştir. Hastaların 41'i erkek (%98) ve biri kadındır (%2). 42 hastanın 31'i tip I (%74), 9'u tip II (%21) ve 2'si (%5) tip III olarak sınıflandırılmıştır. Klasik klinik üçlü bulgu hastaların hepsinde saptanmıştır. Biri hariç tüm hastalarda skolyoz saptanmışken, Sprengel deformitesi 10 hastada (%24) gözlenmiştir. Eşlik eden diğer organ patolojilerinin %9,5'i ürogenital sistem, %23,8'i kardiyovasküler sistem ve %31'i işitme patolojileri idi. KFS'lu hastalardaki omurga ve diğer organ patolojileri sonuçta tıbbi tedavi gerektiren ciddi sorunlara yol açabilir. KFS'lu hastalarda olası bir sistemik problemin saptanması amacıyla detaylı bir inceleme veya yakın klinik takip yararlı olabilir

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Cite This Article

ÇAKMAK, S., RODOP, O., MAHİROĞULLARI, M., UZ, Ö., ERKUL, E., KEKLİKÇİ, K. (2016). Klippel Feil sendromlu erişkinlerdeki muhtelif organ anormalliklerinin farkında mıyız?. Gülhane Tıp Dergisi, Cilt: 58 - Sayı: 1, 37–44. https://ajindex.com/articles/197463

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References (16)

  1. Klippel M, Feil A. The classic: A case of absence of cervical vertebrae with the thoracic cage rising to the base of the cranium (cervical thoracic cage). Clin Orthop Rel Res 1975; 109: 3-8
  2. Patel PR, Lauerman WC. Maurice Klippel. Spine 1995; 20: 2157-2160
  3. Thomsen MN, Schneider U, Weber M, Johannisson R, Niethard FU. Scoliosis and congenital anomalies associated with Klippel-Feil syndrome types I-III. Spine 1997; 22: 396-401
  4. Tracy MR, Dormans JP, Kusumi K. Klippel-Feil syndrome: clinical features and current understanding of etiology. Clin Orthop Relat Res 2004; 424: 183-190
  5. Guille JT, Miller A, Bowen JR, Forlin E, Caro PA. The natural history of Klippel-Feil syndrome: Clinical, roentgenographic, and magnetic resonance imaging findings at adulthood. J Pediatr Orthop 1995; 15: 617- 626
  6. Shen FH, Samartzis D, Herman J, Lubicky JP. Radiographic assessment of segmental motion at the atlantoaxial junction in the Klippel-Feil patient. Spine 2006; 31: 171-177
  7. Van Kerckhoven MF, Fabry G. The Klippel-Feil syndrome: a constellation of deformities. Acta Orthop Belg 1989; 55: 107-118
  8. Gunderson CH, Greenspan RH, Glaser GH, Lubs HA. The Klippel-Feil syndrome: genetic and clinical reevaluation of cervical fusion. Medicine (Baltimore) 1967; 46: 491-512
  9. Hensinger RN, Lang JE, MacEwen GD. Klippel-Feil syndrome: a constellation of associated anomalies. J Bone Joint Surg Am 1974; 56: 1246-1253
  10. Mahiroğullari M, Ozkan H, Yildirim N, Cilli F, Güdemez E. [Klippel-Feil syndrome and associated congenital abnormalities: evaluation of 23 cases]. Acta Orthop Traumatol Turc 2006; 40(3): 234-239
  11. Samartzis D, Kalluri P, Herman J, Lubicky JP, Shen FH. Cervical scoliosis in the Klippel-Feil patient. Spine (Phila Pa 1976) 2011; 36(23): E1501-1508
  12. Samartzis DD, Herman J, Lubicky JP, Shen FH. Classification of congenitally fused cervical patterns in Klippel-Feil patients: epidemiology and role in the development of cervical spine-related symptoms. Spine 2006; 31: E798-804
  13. Clarke RA, Kearsley JH, Walsh DA. Patterned expression in familial Klippel-Feil syndrome. Teratology 1996; 53: 152-157
  14. Pizzutillo PD, Woods M, Nicholson L, MacEwen GD. Risk factors in Klippel-Feil syndrome. Spine 1994; 19: 2110-2116
  15. Ballock RT, Song KM. The prevalence of nonmuscular causes of torticollis in children. J Pediatr Orthop 1996; 16: 500-504
  16. Winter RB, Moe JH, Lonstein JE. The incidence of Klippel-Feil syndrome in patients with congenital scoliosis