Isolated Neck Extensor Myopathy Causing a Dropped Head: A Case Report
| Autor: | Hiroshi Takahashi, Yuichiro Yokoyama, Fumiaki Terajima, Keiji Hasegawa, Toru Suguro, Kazutoshi Shibuya, Akihito Wada |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: | |
| Zdroj: | Journal of Orthopaedic Surgery, Vol 19 (2011) |
| Druh dokumentu: | article |
| ISSN: | 2309-4990 23094990 |
| DOI: | 10.1177/230949901101900124 |
| Popis: | This report is of a 71-year-old woman who presented with a dropped head and difficulty in extending her neck. She was diagnosed with isolated neck extensor myopathy. Conservative treatment (use of a cervical collar and muscular strength training) temporarily improved her symptoms. However, destruction of cervical vertebrae and myelopathy progressed secondary to repeated microfractures from mechanical stress. The patient underwent 2-stage combined anterior and posterior decompression and fusion using autografts. At one-year follow-up, numbness of the bilateral upper limbs had resolved, and bone union was achieved. The patient was able to look straight ahead and was very satisfied with the outcome. |
| Databáze: | Directory of Open Access Journals |
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