Abstract
MRI findings of a patient with dropped-head syndrome due to focal myositis of the neck extensor muscles are presented. MRI showed oedematous changes and marked enhancement of the neck extensor muscles. After therapy MRI demonstrated disappearance of the abnormal findings.
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References
Lange DJ, Fetell MR, Lovelace RE, et al. The floppy head syndrome. Ann Neurol 1986;20:133
Suarez GA, Kelly JJ. The dropped head syndrome. Neurology 1992;42:1625–7
Narayanaswami P, Bertorini TE. The dropped head syndrome. J Clin Neuromuscul Dis 2000;2:106–12
Katz JS, Wolfe GI, Burns DK, Bryan WW, Fleckstein JL, Barohn RJ. Isolated neck extensor myopathy: a common cause of dropped head syndrome. Neurology 1996;46:917–21
Jaster JH, Bertorini TE, Swimps MP, et al. Cervical kyphosis after resolution of myopathic head drop: a case report. Spine 1996;21:2023–25
Biram I, Cohen O, Diment J, et al. Focal, steroid responsive myositis causing dropped head syndrome. Muscle Nerve 1999;22:769–71
Jaster JH, Bertorini TE, Swims MP, et al. Dropped head syndrome (letter). Neurology 1997;48:551
Resnick D. Dermatomyositis and polymyositis. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders; 1995. pp. 1218–31
Reimers CD, Schedel H, Fleckenstein JL, et al. Magnetic resonance imaging of skeletal muscles in idiopathic inflammatory myopathies of adults. J Neurol 1994;241:306–14
Fujino H, Kobayashi T, Goto I, Onitsuka H. Magnetic resonance imaging of the muscles in patients with polymyositis and dermatomyositis. Muscle Nerve 1991;14:716–20
Fleckenstein JL, Reimers CD. Inflammatory myopathies: radiologic evaluation. Radiol Clin North Am 1996;34:427–39
McCully K, Shellock FG, Bank WJ, Posner JD. The use of nuclear magnetic resonance to evaluate muscle injury. Med Sci Sports Exerc 1992;24:537–42
De Smet AA. Magnetic resonance findings in skeletal muscle tears. Skelet Radiol 1993;22:479–84
Shellock FG, Fleckenstein JL. Magnetic resonance imaging of muscle injuries. In: Stoller DW, editor. Magnetic resonance imaging in orthopaedics and sports medicine. 2nd ed. Philadelphia: Lippincott-Raven; 1997. pp. 1341–62
Resnick D, Niwayama G. Osteomyelitis, septic arthritis, and soft tissue infection: mechanism and situations. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders; 1995. 2325–418
Calabrese LH, Chou SM. Inclusion body myositis: analysis of 32 cases. J Reumatol 1992;19:1385–9
May DA, Good RB, Smith DK, Parsons TW. MR imaging of musculoskeletal tumors and tumor mimickers with intravenous gadolinium: experience with 242 patients. Skelet Radiol 1997;26:2–15
Bredella MA, Tirman PFJ, Fritz RC, Wischer TK, Stork A, Genant HK. Denervation syndromes of the shoulder girdle: MR imaging with electrophysiologic correlation. Skelet Radiol 1999;28:567–72
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Gaeta, M., Mazziotti, S., Toscano, A. et al. “Dropped-head” syndrome due to isolated myositis of neck extensor muscles: MRI findings. Skeletal Radiol 35, 110–112 (2006). https://doi.org/10.1007/s00256-005-0011-2
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DOI: https://doi.org/10.1007/s00256-005-0011-2