title: Wildervanck's syndrome presenting as hemiparesthesia.
abstract: A 41-year-old male presented with recent-onset left hemiparesthesia, described as a "tingling numbness" of the upper extremity, torso, and face. History revealed a lifelong horizontal diplopia, neck stiffness, and left-sided hearing loss for 5 months. Examination revealed an ocular exam consistent with Duane's retraction syndrome, clinical and radiographic evidence of congenital fusion of C2 and C3 demonstrative of the Klippel-Feil anomaly, and a sensorineural hearing loss confirmed by audiometry. The diagnosis of Wildervanck's syndrome was made based on this classic triad of findings. A thorough evaluation has not yielded an objective explanation for the episodic hemiparesthesia. We present a patient exhibiting the classic triad of Wildervanck's syndrome, whose presentation is unique because hemiparesthesia has not previously been reported in association with this rare syndrome.
authors.affiliation: Department of Family and Community Medicine, Dwight D. Eisenhower Army Medical Center, Fort Gordon, GA 30905, USA.
authors.forename: N A
authors.initials: NA
authors.lastname: Johnson
authors.forename: M J
authors.initials: MJ
authors.lastname: McClure
authors.forename: E
authors.initials: E
authors.lastname: Protzko
authors.forename: D
authors.initials: D
authors.lastname: Fosmire
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004172:Diplopia / Q000150:complications / Q000175:diagnosis*; D006319:Hearing Loss, Sensorineural / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007714:Klippel-Feil Syndrome / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008297:Male; D008889:Military Personnel; D010292:Paresthesia / Q000150:complications / Q000175:diagnosis*; D011859:Radiography; D013577:Syndrome; D014481:United States