American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
Open Access
Journal Browser
American Journal of Medical Case Reports. 2015, 3(8), 255-256
DOI: 10.12691/ajmcr-3-8-9
Open AccessCase Report

Kimmerle Anomaly and Drop Attacks in Adolescent

Enrico Finale1, Mauro Martinetti2, Fabrizio La Rocca3, Fulvio Guccione4 and Andrea Guala5,

1Department of Obstetrics and Gynecology, Castelli Hospital, Italy

2Department of Radiology, Castelli Hospital Verbania, Italy

3Department of Pediatric Neurology, Castelli Hospital Verbania, Italy

4Department of Pediatric Neurology, ASL Novara, Italy

5Department of Pediatrics and Neonatology Castelli Hospital Verbania, Italy

Pub. Date: July 17, 2015

Cite this paper:
Enrico Finale, Mauro Martinetti, Fabrizio La Rocca, Fulvio Guccione and Andrea Guala. Kimmerle Anomaly and Drop Attacks in Adolescent. American Journal of Medical Case Reports. 2015; 3(8):255-256. doi: 10.12691/ajmcr-3-8-9


A. is 12 years old and comes to the first aid for a fainting spell during gym class. Pediatric and Neurological examination, ECG, EEG and RMN are all negatives. The medical history is negative regarding the main causes of Drop Attacks. Only one cervicodorsal radiography allows diagnosis of Kimmerly’s anomaly. The Kimmerly’s anomaly occurs in adults in 14% of the population, but is extremely rare in adolescents. The conduct adopted, after discussion with the neurologist and neurosurgeon, is waiting and symptoms monitoring.

drop attacks Kimmerle anomaly

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


Figure of 1


[1]  Prakash BS et al. “Left arteriae vertebralis canal in atlas-Kimmerle anomaly” Int J Anatom Variat 3:130, 2010.
[2]  Koutsouraki E. et al. “Kimmerle’s anomaly as a causative factor of chronic tension headaches and neurosensory hearing loss”. Encephalos 47:150, 2010.
[3]  Split W. et al. “Clinical symptoms and signs in Kimmerle anomaly” Wlad Lek 55:416, 2002.
[4]  Eliott RE, Tanweer O. “The prevalence of the arcuate foramen and its importance” World Neurosurg 82:335, 2014.
[5]  Cusching KE et al. “Tethering of the vertebral artery in the congenital arcuate foramen of the atlas vertebra: a possible cause of vertebral artery dissection in children” Dev Med Child Neurol 43:491, 2001.