Rowin Julie, Cheng Grace, Lewis Steven L, Meriggioli Matthew N
Department of Neurology and Rehabilitation, University of Illinois at Chicago, Neuropsychiatric Institute (MC 796), Chicago, Illinois 60612-7330, USA.
Muscle Nerve. 2006 Nov;34(5):666-9. doi: 10.1002/mus.20623.
We present three cases of dropped head syndrome that occurred as a complication of mantle field (i.e., lymph nodes of the neck, axillae, and mediastinum) or whole-body radiation therapy for Hodgkin's disease. These cases are characterized by a late onset (2-27 years after radiation treatment), fibrosis, and contraction of the anterior cervical muscles, and atrophy of the posterior neck and shoulder girdle. This report adds to the increasing literature about the late neurological complications of radiation therapy and describes a previously unrecognized cause of dropped head syndrome.
我们报告了3例垂头综合征病例，这些病例是霍奇金病斗篷野（即颈部、腋窝和纵隔淋巴结）或全身放射治疗的并发症。这些病例的特点是发病较晚（放射治疗后2 - 27年）、纤维化、颈前肌收缩以及颈后和肩胛带萎缩。本报告增加了关于放射治疗晚期神经并发症的文献，并描述了一种此前未被认识的垂头综合征病因。
