{
  "abstract": "Klippel-Feil syndrome (KFS) is a rare congenital disorder characterised by the fusion of the cervical vertebrae. We report the case of an early adolescent patient who presented with acute dizziness, vomiting, slurred speech and left-sided hemiparesis following neck movements. Imaging revealed craniocervical anomalies (including atlanto-occipital assimilation and C2–C3 fusion) and severe vertebrobasilar artery stenosis/occlusion, which led to acute ischaemic infarcts in the cerebellum and pons. Notably, the patient lacked the classical short-neck phenotype. The patient was diagnosed with KFS and a posterior circulation stroke. The patient showed significant improvement with antiplatelet therapy, anticoagulation and rehabilitation. This case underscores the fact that KFS can present with life-threatening stroke even in the absence of typical clinical features, highlighting the importance of early imaging and a multidisciplinary approach.",
  "authors": [
    {
      "affiliations": [
        "Department of Pediatrics, Lanzhou University Second Hospital, Lanzhou, China"
      ],
      "name": "Xing-Chuan Li"
    },
    {
      "affiliations": [
        "Lanzhou University First Affiliated Hospital, Lanzhou, Gansu, China"
      ],
      "name": "Song Wang"
    },
    {
      "affiliations": [
        "Department of Pediatrics, Lanzhou University Second Hospital, Lanzhou, China"
      ],
      "name": "Xiao-Yan Liu"
    },
    {
      "affiliations": [
        "Department of Pediatrics, Lanzhou University Second Hospital, Lanzhou, China"
      ],
      "name": "Yan Xu"
    }
  ],
  "title": "Klippel-Feil syndrome presenting as posterior circulation stroke in a paediatric patient",
  "uid": "9fe75457-4984-5c7a-b237-98007ed39c3c"
}