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A 4-year-old girl was referred for recurrent neck pain. On examination, she was noted to have a short neck with very limited range of motion and a low-set posterior hairline. Suspecting Klippel-Feil Syndrome (KFS), X-rays (figure 1A and B) and CT (figure 1C and D) with three-dimensional reconstruction (see online supplementary video 1) were performed and a complex malformation of the cervical spine and craniocervical junction was detected.
Contributors PSB and MM were involved in clinical management of the patient and wrote the paper. IR and MVG follow the patient during the time AB had the supervision of the work. GSC and PT co-worked on images collection and their interpretation. All authors have contributed and approved the manuscript.
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
▸ A video CT with three-dimensional reconstruction is available to view online. To view this file please visit the journal online (http://dx.doi.org/10.1136/archdischild-2013-305203).