Orthopaedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
Diagn Pathol. 2011 Jan 19;6:9. doi: 10.1186/1746-1596-6-9.
We report a case of a 69-year-old man with dropped head syndrome associated with isolated neck extensor myopathy (INEM). Over a period of 2 years, he exhibited progressive inability to lift his chin off his chest, resulting in the dropped head position that impaired his activities of daily living. He had a disturbed gait with severe imbalance of spinal alignment. Computed tomography revealed osseous contracture of cervical vertebral bodies in flexed position. Anterior combined posterior reconstruction surgery yielded a successful outcome in his activities of daily living, including his walking balance of spinal alignment. Pathologic study confirmed myogenic atrophy in the cervical extensor muscles. We suggest that consideration for surgical management should be given to dropped head syndrome especially due to INEM.
我们报告了一例 69 岁男性，患有低头综合征，伴孤立性颈伸肌病（INEM）。2 年来，他逐渐出现无法抬起下巴离开胸部的能力，导致低头姿势，影响日常生活活动。他的步态受到干扰，脊柱排列严重失衡。计算机断层扫描显示颈椎在弯曲位置的骨性挛缩。前路联合后路重建手术使他的日常生活活动，包括脊柱排列的行走平衡，取得了成功的结果。病理研究证实颈伸肌有肌源性萎缩。我们建议，特别是由于 INEM，应考虑手术治疗低头综合征。
