Isolated Neck Extensor Myopathy Causing a Dropped Head: A Case Report
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, destructi...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2011-04-01
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| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/230949901101900124 |
| _version_ | 1818544308691664896 |
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| author | Hiroshi Takahashi Yuichiro Yokoyama Fumiaki Terajima Keiji Hasegawa Toru Suguro Kazutoshi Shibuya Akihito Wada |
| author_facet | Hiroshi Takahashi Yuichiro Yokoyama Fumiaki Terajima Keiji Hasegawa Toru Suguro Kazutoshi Shibuya Akihito Wada |
| author_sort | Hiroshi Takahashi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-11T22:46:48Z |
| format | Article |
| id | doaj.art-96dabeb39b404f1ebb4c59d5c99e9ca1 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-12-11T22:46:48Z |
| publishDate | 2011-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-96dabeb39b404f1ebb4c59d5c99e9ca12022-12-22T00:47:35ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902011-04-011910.1177/230949901101900124Isolated Neck Extensor Myopathy Causing a Dropped Head: A Case ReportHiroshi Takahashi0Yuichiro Yokoyama1Fumiaki Terajima2Keiji Hasegawa3Toru Suguro4Kazutoshi Shibuya5Akihito Wada6 Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, Japan Department of Pathology, Toho University School of Medicine, Tokyo, Japan Department of Orthopaedic Surgery, Toho University School of Medicine, Tokyo, JapanThis 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.https://doi.org/10.1177/230949901101900124 |
| spellingShingle | Hiroshi Takahashi Yuichiro Yokoyama Fumiaki Terajima Keiji Hasegawa Toru Suguro Kazutoshi Shibuya Akihito Wada Isolated Neck Extensor Myopathy Causing a Dropped Head: A Case Report Journal of Orthopaedic Surgery |
| title | Isolated Neck Extensor Myopathy Causing a Dropped Head: A Case Report |
| title_full | Isolated Neck Extensor Myopathy Causing a Dropped Head: A Case Report |
| title_fullStr | Isolated Neck Extensor Myopathy Causing a Dropped Head: A Case Report |
| title_full_unstemmed | Isolated Neck Extensor Myopathy Causing a Dropped Head: A Case Report |
| title_short | Isolated Neck Extensor Myopathy Causing a Dropped Head: A Case Report |
| title_sort | isolated neck extensor myopathy causing a dropped head a case report |
| url | https://doi.org/10.1177/230949901101900124 |
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