• Mehtab Alam, Ayaz Ul Haq, Muzaffar Shah, Usman Haqqani, and Sajjad Ullah.
• Department of Neurology, Lady Reading Hospital, Peshawar, Khyber Pakhtunkhwa, Pakistan.
• Spine. 2020 Mar 15; 45 (6): E342-E345.

Study DesignCase report.ObjectiveSince this is the first ever case of a male patient with Klippel-Feil syndrome (KFS) with anterior cervical meningomyelocele and syringomyelia. All four previously reported cases were female patients. This makes this case unique.Summary Of Background DataKFS with auxiliary anterior cervical meningomyelocele is a rare entity. To the best of our knowledge so far only four cases are reported.MethodsA 22-year-old male patient was presented to neurology outpatient department with 2-year history of left hand paresthesia and progressive weakness. The diagnostic evaluation showed KFS with auxiliary anterior cervical meningomyelocele and thoracic syringomyelia.ResultsPatient was sent to neurosurgery department for intervention. After discussing the possible risks and complications of intervention he opted for conservative therapy and declined the surgery.ConclusionThe paucity of data is the key reason for any recommended protocol for management of such patients but the available literature recommends neurosurgical intervention in symptomatic patients.Level Of Evidence5.

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