Klippel-Fell症候群合併右位心及叉狀肋骨：病例報告

Klippel-Feil Syndrome Associated with Dextrocardia and Forked rib-A Case Report

劉大忠(Da-Chung Liou) ； 吳志順(Chih-Shun Wu)

《中華放射線醫學雜誌》 22卷4期 (1997/08) Pp. 185-188

摘要

Klippel-Feil症候群是一種少見的先天性頸椎融合病變。早期的學著認為診斷的特徵有三點，一，短脖子；二，後髮際線過低；三，頸部活動受限制。現代的學者則依據病人是否有2個或以上之頸椎先天性融合來診斷Klippel-Feil症候群。此症常在青少年時期因其它原因被意外的發現。其本身也常合併其它先天性的異常，但我們的病例合併右位心和叉狀肋骨，殊為罕見，特此提出病例報告，並做文獻朔閱。

關鍵字

心臟，異常 ； 肋骨，異常 ； 脊椎，異常

並列摘要

Klippel-Feil syndrome (KFS) is a rare congenital cervical synostoses. Originally, it was believed that a correct determinant for the diagnosis of this disease to occur the patient must possess a 1) short neck, 2) low occipital hairline, 3) limited cervical mobility. More recently, most authors consider that any patient who has failure of segmentation of two or three cervical vertebrae may be categorized as KFS.
This syndrome is usually found in a young age and is probably associated with some congenital anomaly. Our patient combined KFS with dextrocardia and forked rib is a extremely rare case, so offering the purpose of further study.

並列關鍵字

Heart, abnormalities ； Rib, abnormalities ； Spine, abnormalities