| Myopathic dropped head syndrome: a syndrome of mixed aetiology. | |
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MedLine Citation:
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PMID: 10938615 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report two patients with myopathic dropped head syndrome, a rare and interesting neuromuscular syndrome characterised by a predominant weakness of the neck extensor muscles. The first patient, a middle aged Chinese man, presented with progressive weakness of neck extension but his clinical course later stabilised despite a lack of response to corticosteroids. Muscle biopsy revealed a necrotising myopathy with no evidence of inflammation. This patient supports the existence of an idiopathic restricted non-inflammatory myopathy, a so called isolated neck extensor myopathy syndrome which is recognised to pursue a less progressive, more benign course. Our second patient had histopathological evidence for polymyositis; there was a favourable response to steroids. Our cases underscore the fact that there may be a spectrum of pathological processes associated with the myopathic dropped head syndrome ranging from non-inflammatory muscle necrosis to a full blown inflammatory myositis. |
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Authors:
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K J Goh; K T Wong; C T Tan |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia Volume: 7 ISSN: 0967-5868 ISO Abbreviation: J Clin Neurosci Publication Date: 2000 Jul |
Date Detail:
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Created Date: 2000-09-14 Completed Date: 2000-09-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9433352 Medline TA: J Clin Neurosci Country: SCOTLAND |
Other Details:
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Languages: eng Pagination: 334-6 Citation Subset: IM |
Copyright Information:
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Copyright 2000 Harcourt Publishers Ltd. |
Affiliation:
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Division of Neurology, Department of Medicine, University of Malaya, Kuala Lumpur, Malaysia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Head Movements / physiology Humans Male Middle Aged Muscle Weakness / etiology*, pathology*, physiopathology Muscular Diseases / complications*, pathology*, physiopathology Neck Muscles / pathology*, physiopathology |
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