Science and Education Publishing American Journal of Medical Case Reports 2374-216X 3 8 2015 07 17 Kimmerle Anomaly and Drop Attacks in Adolescent 255 256 EN Enrico Finale Mauro Martinetti Fabrizio La Rocca Fulvio Guccione Andrea Guala Department of Pediatrics and Neonatology Castelli Hospital Verbania, Italy AJMCR2015389 10.12691/ajmcr-3-8-9 2015 07 09 2015 07 15 2015 07 17 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.