eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2015-07-17 3 8 255 256 10.12691/ajmcr-3-8-9 AJMCR2015389 article Enrico Finale 1 Mauro Martinetti 2 Fabrizio La Rocca 3 Fulvio Guccione 4 Andrea Guala enrico.finale@gmail.com 5 Department of Obstetrics and Gynecology, Castelli Hospital, Italy Department of Radiology, Castelli Hospital Verbania, Italy Department of Pediatric Neurology, Castelli Hospital Verbania, Italy Department of Pediatric Neurology, ASL Novara, Italy Department of Pediatrics and Neonatology Castelli Hospital Verbania, Italy 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. http://pubs.sciepub.com/ajmcr/3/8/9/ajmcr-3-8-9.pdf drop attacks Kimmerle anomaly