2025, Vol. 7, Issue 2, Part A
Challenges for subarachnoid block in a patient with klippel feil syndrome: A case report
Author(s): Shiwangi Kashyap, Yashoda Khadka, Utsav Acharya, Niroj Ramdam and Barsha Karki
Abstract: Klippel Feil syndrome is one of the rarest congenital anomalies with newborns worldwide, with a slight female predominance. Characterised by abnormal fusion of two or more cervical vertebrae. Klippel-Feil syndrome presents with the classic triad of a short neck, low posterior hairline, and limited neck mobility. It presents a unique perioperative challenge to the anaesthesiologist as both the airway management and central neuraxial blockade are anticipated to be difficult due to fusion of the vertebrae and the presence of other associated congenital anomalies.
27 year old male with Klippel Feil syndrome, weighing 55 kg with a height of 154.94 cm and BMI of 22.9 kg/m2 presented in our emergency with left irreducible indirect inguinal hernia and was planned for hernioplasty. He had been diagnosed previously as Type III Klippel Feil syndrome having the classical triad, which is quite rare. He was planned under subarachnoid block, which was quite challenging. Surgery was uneventful and the patient made an excellent recovery.
In individuals with Klippel-Feil syndrome, administration of subarachnoid blockade necessitates meticulous preoperative orchestration, given the intricate anatomical aberrations. Vigilant preparedness for potential airway and neuraxial complexities is imperative to facilitate safe and efficacious anaesthetic intervention.
DOI: 10.22271/27080056.2025.v7.i2a.138Pages: 22-24 | Views: 581 | Downloads: 226Download Full Article: Click Here
How to cite this article:
Shiwangi Kashyap, Yashoda Khadka, Utsav Acharya, Niroj Ramdam, Barsha Karki.
Challenges for subarachnoid block in a patient with klippel feil syndrome: A case report. J Case Rep Sci Images 2025;7(2):22-24. DOI:
10.22271/27080056.2025.v7.i2a.138
