Document Detail


Dropped head syndrome as a presenting sign of scleromyositis.
MedLine Citation:
PMID:  20236664     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The isolated or prominent weakness of cervical extensor muscles is a relatively rare clinical sign known as "dropped head syndrome". It occurs in a variety of neuromuscular diseases. Here, we report the case of a 53 year old woman whose main symptom was a dropped head syndrome that led to the diagnosis of scleromyositis. Scleromyositis is a rare idiopathic inflammatory myopathy, which combines polymyositis and scleroderma symptoms. Although idiopathic inflammatory myopathies are listed as causes of dropped head syndrome, very few cases are reported in the literature. Furthermore, scleromyositis revealed by a dropped head syndrome has never been described. As this condition was totally reversed by a regiment of corticosteroids, it is thus of a diagnostic interest for neurologists to be aware of idiopathic inflammatory myopathies, including scleromyositis, as a potentially treatable aetiology of dropped head syndrome.
Authors:
Beatrice Garcin; Timoth?e Lenglet; Odile Dubourg; Val?rie Mesnage; Richard Levy
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-03-16
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  292     ISSN:  1878-5883     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-03-29     Completed Date:  2010-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  101-3     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier B.V. All rights reserved.
Affiliation:
AP-HP, service de neurologie, H?pital Saint-Antoine, 184 rue de Faubourg Saint-Antoine, 75012 Paris, France. beagarcin@msn.com
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MeSH Terms
Descriptor/Qualifier:
Female
Glucocorticoids / therapeutic use
Humans
Middle Aged
Muscle Weakness / etiology*
Neck Muscles / pathology*
Polymyositis / complications,  diagnosis*,  drug therapy
Prednisone / therapeutic use
Recovery of Function
Scleroderma, Systemic / complications,  diagnosis*,  drug therapy
Treatment Outcome
Chemical
Reg. No./Substance:
0/Glucocorticoids; 53-03-2/Prednisone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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