{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T13:36:51Z","timestamp":1793367411333,"version":"4.5.0"},"reference-count":15,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Radiology Case Reports"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.radcr.2026.06.132","type":"journal-article","created":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T12:09:00Z","timestamp":1784376540000},"page":"4607-4613","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["A case of Klippel\u2013Feil syndrome with adult-onset neurological symptoms"],"prefix":"10.1016","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2579-8331","authenticated-orcid":false,"given":"Karthik Raja","family":"Ravichandran","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0186-1190","authenticated-orcid":false,"given":"James G.","family":"Wilcox","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6476-4470","authenticated-orcid":false,"given":"Christopher L.","family":"Newman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.radcr.2026.06.132_bib0001","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/s13013-016-0075-x","article-title":"\u201cClinical triad\u201d findings in pediatric Klippel-Feil patients","volume":"11","author":"Samartzis","year":"2016","journal-title":"Scoliosis Spinal Disord"},{"key":"10.1016\/j.radcr.2026.06.132_bib0002","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1097\/01.blo.0000130267.49895.20","article-title":"Klippel-Feil syndrome: clinical features and current understanding of etiology","volume":"424","author":"Tracy","year":"2004","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.radcr.2026.06.132_bib0003","first-page":"223","article-title":"Un cas d\u2019absence des vert\u00e8bres cervicales avec cage thoracique remontant jusqu\u2019\u00e0 la base du cr\u00e2ne","volume":"25","author":"Klippel","year":"1912","journal-title":"Nouvelle Iconographie de la Salp\u00eatri\u00e8re"},{"issue":"12","key":"10.1016\/j.radcr.2026.06.132_bib0004","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1007\/s002470050511","article-title":"Heterogeneity in Klippel\u2013Feil syndrome: a new classification","volume":"28","author":"Clarke","year":"1998","journal-title":"Pediat Radiol"},{"issue":"6","key":"10.1016\/j.radcr.2026.06.132_bib0005","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1038\/sj.ejhg.5200987","article-title":"Mutations in PAX1 may be associated with Klippel\u2013Feil syndrome","volume":"11","author":"McGaughran","year":"2003","journal-title":"European J Human Genet"},{"issue":"7","key":"10.1016\/j.radcr.2026.06.132_bib0006","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1007\/BF00209100","article-title":"Klippel-Feil syndrome: patterns of bony fusion and wasp-waist sign","volume":"22","author":"Nguyen","year":"1993","journal-title":"Skeletal Radiol"},{"issue":"3","key":"10.1016\/j.radcr.2026.06.132_bib0007","doi-asserted-by":"crossref","first-page":"e23","DOI":"10.1016\/j.jvs.2016.04.039","article-title":"Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome","volume":"64","author":"Illig","year":"2016","journal-title":"J Vasc Surg"},{"issue":"11","key":"10.1016\/j.radcr.2026.06.132_bib0008","first-page":"CD007218","article-title":"Treatment for thoracic outlet syndrome","author":"Povlsen","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.radcr.2026.06.132_bib0009","doi-asserted-by":"crossref","first-page":"101","DOI":"10.3406\/bmsap.1912.8505","article-title":"Un cas d\u2019absence des vert\u00e9bres cervicales cage thoracique remontant jusqu\u2019a La Base Du Cr\u00e2ne","volume":"3","author":"Klippel","year":"1912","journal-title":"Bull M\u00e9moires Soc Anthropol Paris"},{"issue":"21","key":"10.1016\/j.radcr.2026.06.132_bib0010","doi-asserted-by":"crossref","first-page":"E798","DOI":"10.1097\/01.brs.0000239222.36505.46","article-title":"Classification of congenitally fused cervical patterns in Klippel-Feil patients: epidemiology and role in the development of cervical spine-related symptoms","volume":"31","author":"Samartzis","year":"2006","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.radcr.2026.06.132_bib0012","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1097\/MCD.0000000000000301","article-title":"Klippel\u2013Feil syndrome: a review of the literature","volume":"29","author":"Frikha","year":"2020","journal-title":"Clin Dysmorphol"},{"key":"10.1016\/j.radcr.2026.06.132_bib0013","doi-asserted-by":"crossref","first-page":"951","DOI":"10.5435\/JAAOS-D-21-00190","article-title":"Klippel\u2013Feil syndrome: pathogenesis, diagnosis, and management","volume":"29","author":"Litrenta","year":"2021","journal-title":"J Am Acad Orthop Surg"},{"key":"10.1016\/j.radcr.2026.06.132_bib0014","doi-asserted-by":"crossref","DOI":"10.2106\/JBJS.RVW.21.00166","article-title":"Klippel\u2013Feil syndrome: clinical presentation and management","volume":"10","author":"Jae-Min Park","year":"2022","journal-title":"JBJS Rev"},{"issue":"9","key":"10.1016\/j.radcr.2026.06.132_bib0015","doi-asserted-by":"crossref","first-page":"E189","DOI":"10.1097\/00007632-200405010-00023","article-title":"Klippel-Feil syndrome presenting with bilateral thoracic outlet syndrome","volume":"29","author":"Konstantinou","year":"2004","journal-title":"Spine (Phila Pa 1976)"},{"issue":"5","key":"10.1016\/j.radcr.2026.06.132_bib0016","doi-asserted-by":"crossref","first-page":"E466","DOI":"10.1111\/ans.13452","article-title":"Arterial thoracic outlet syndrome in Klippel-Feil syndrome","volume":"88","author":"Hazra","year":"2018","journal-title":"ANZ J Surg"}],"container-title":["Radiology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S193004332600573X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S193004332600573X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T12:54:36Z","timestamp":1793364876000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S193004332600573X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":15,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S193004332600573X"],"URL":"https:\/\/doi.org\/10.1016\/j.radcr.2026.06.132","relation":{},"ISSN":["1930-0433"],"issn-type":[{"value":"1930-0433","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A case of Klippel\u2013Feil syndrome with adult-onset neurological symptoms","name":"articletitle","label":"Article Title"},{"value":"Radiology Case Reports","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.radcr.2026.06.132","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc. on behalf of University of Washington.","name":"copyright","label":"Copyright"}]}}