Neck extensor myopathy- a treatable cause of dropped head syndrome.

Autor: Varghese N; Department of Neurology, KMCT Medical college, Mukkam, Mukkam, Kozhikode, 673602, India. nibuvrghs@gmail.com.; Neurology, Southern Illinois University, Springfield, United States of America. nibuvrghs@gmail.com., K D VC; Department of Internal Medicine, KMCT Medical college, Mukkam, Kozhikode, 673602, India., Menon D; Department of Neurology, National Institute of Mental Health and Neurosciences, Bengaluru, 560029, India., P A; Department of Neurology, KMCT Medical college, Mukkam, Mukkam, Kozhikode, 673602, India., Kattadimmal A; Department of Neurology, KMCT Medical college, Mukkam, Mukkam, Kozhikode, 673602, India., Mathew J; Department of Neurology, KMCT Medical college, Mukkam, Mukkam, Kozhikode, 673602, India.; Department of Internal Medicine, KMCT Medical college, Mukkam, Kozhikode, 673602, India., B S S; Department of Neurology, KMCT Medical college, Mukkam, Mukkam, Kozhikode, 673602, India., Babu NM; Department of Radiology, Jubille Mission Medical College, Thrissur, India.
Jazyk: angličtina
Zdroj: Acta neurologica Belgica [Acta Neurol Belg] 2024 Dec; Vol. 124 (6), pp. 2029-2033. Date of Electronic Publication: 2024 Aug 13.
DOI: 10.1007/s13760-024-02617-7
Abstrakt: Dropped head syndrome (DHS) is characterized by a passively correctable chin-on-neck deformity inerect posture and can stem from a wide variety of neurological disorders spanning the neuraxis. Neuromuscular disorders account for a major chunk of DHS and include disease of anterior horn celldiseases, polyradiculopathies and cervical plexopathies, disease of neuromuscular junction andmyopathies. Isolated DHS without additional neurological features poses a management challenge, particularly because the symptoms can signifi cantly impact the patient's quality of life and may notalways respond to treatment..(Ref)Here we present a patient with isolated DHS with evaluation revealingisolated next extensor myopathy with remarkable response to treatment. Although isolated neckextensor myopathy typically exhibit poor immunomodulatory response, timely identifi cation and earlyintervention probably can lead to a favourable outcome in a subgroup of patients.
Competing Interests: Declarations. Ethical approval: A written consent was obtained from the byestanders.We confirm that we have read the journal’s position on issues involved in ethical publication and affirm that this work is consistent with those guidelines. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s) under exclusive licence to Belgian Neurological Society.)
Databáze: MEDLINE
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