Cargando…
Severe pain as a possible cause of dropped head syndrome that was attenuated after amputation of an ischemic lower limb
BACKGROUND: Dropped head syndrome (DHS) is defined as weakness of the neck extensor muscles causing a correctable chin-on-the-chest deformity. Here we report the case of a patient with severe pain from lower leg ischemia showing DHS whose symptoms were attenuated by pain relief after amputation of t...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776416/ https://www.ncbi.nlm.nih.gov/pubmed/26936164 http://dx.doi.org/10.1186/s13104-016-1952-3 |
_version_ | 1782419151712681984 |
---|---|
author | Maki, Satoshi Koda, Masao Furuya, Takeo Takahashi, Kazuhisa Yamazaki, Masashi |
author_facet | Maki, Satoshi Koda, Masao Furuya, Takeo Takahashi, Kazuhisa Yamazaki, Masashi |
author_sort | Maki, Satoshi |
collection | PubMed |
description | BACKGROUND: Dropped head syndrome (DHS) is defined as weakness of the neck extensor muscles causing a correctable chin-on-the-chest deformity. Here we report the case of a patient with severe pain from lower leg ischemia showing DHS whose symptoms were attenuated by pain relief after amputation of the severely ischemic lower leg. To our knowledge this is the first report indicating that severe pain can cause DHS. CASE PRESENTATION: A 64-year-old Asian woman was referred to our department with a 1-month history of DHS. She also suffered from severe right foot pain because of limb ischemia. She began to complain of DHS as her gangrenous foot pain worsened. She had neck pain and difficulty with forward gaze. We found no clinical or laboratory findings of neuromuscular disorder or isolated neck extensor myopathy. We amputated her leg below the knee because of progressive foot gangrene. Her severe foot pain resolved after the surgery and her DHS was attenuated. CONCLUSION: Severe pain can cause DHS. If a patient with DHS has severe pain in another part of the body, we recommend considering aggressive pain relief as a treatment option. |
format | Online Article Text |
id | pubmed-4776416 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47764162016-03-04 Severe pain as a possible cause of dropped head syndrome that was attenuated after amputation of an ischemic lower limb Maki, Satoshi Koda, Masao Furuya, Takeo Takahashi, Kazuhisa Yamazaki, Masashi BMC Res Notes Case Report BACKGROUND: Dropped head syndrome (DHS) is defined as weakness of the neck extensor muscles causing a correctable chin-on-the-chest deformity. Here we report the case of a patient with severe pain from lower leg ischemia showing DHS whose symptoms were attenuated by pain relief after amputation of the severely ischemic lower leg. To our knowledge this is the first report indicating that severe pain can cause DHS. CASE PRESENTATION: A 64-year-old Asian woman was referred to our department with a 1-month history of DHS. She also suffered from severe right foot pain because of limb ischemia. She began to complain of DHS as her gangrenous foot pain worsened. She had neck pain and difficulty with forward gaze. We found no clinical or laboratory findings of neuromuscular disorder or isolated neck extensor myopathy. We amputated her leg below the knee because of progressive foot gangrene. Her severe foot pain resolved after the surgery and her DHS was attenuated. CONCLUSION: Severe pain can cause DHS. If a patient with DHS has severe pain in another part of the body, we recommend considering aggressive pain relief as a treatment option. BioMed Central 2016-03-02 /pmc/articles/PMC4776416/ /pubmed/26936164 http://dx.doi.org/10.1186/s13104-016-1952-3 Text en © Maki et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Maki, Satoshi Koda, Masao Furuya, Takeo Takahashi, Kazuhisa Yamazaki, Masashi Severe pain as a possible cause of dropped head syndrome that was attenuated after amputation of an ischemic lower limb |
title | Severe pain as a possible cause of dropped head syndrome that was attenuated after amputation of an ischemic lower limb |
title_full | Severe pain as a possible cause of dropped head syndrome that was attenuated after amputation of an ischemic lower limb |
title_fullStr | Severe pain as a possible cause of dropped head syndrome that was attenuated after amputation of an ischemic lower limb |
title_full_unstemmed | Severe pain as a possible cause of dropped head syndrome that was attenuated after amputation of an ischemic lower limb |
title_short | Severe pain as a possible cause of dropped head syndrome that was attenuated after amputation of an ischemic lower limb |
title_sort | severe pain as a possible cause of dropped head syndrome that was attenuated after amputation of an ischemic lower limb |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4776416/ https://www.ncbi.nlm.nih.gov/pubmed/26936164 http://dx.doi.org/10.1186/s13104-016-1952-3 |
work_keys_str_mv | AT makisatoshi severepainasapossiblecauseofdroppedheadsyndromethatwasattenuatedafteramputationofanischemiclowerlimb AT kodamasao severepainasapossiblecauseofdroppedheadsyndromethatwasattenuatedafteramputationofanischemiclowerlimb AT furuyatakeo severepainasapossiblecauseofdroppedheadsyndromethatwasattenuatedafteramputationofanischemiclowerlimb AT takahashikazuhisa severepainasapossiblecauseofdroppedheadsyndromethatwasattenuatedafteramputationofanischemiclowerlimb AT yamazakimasashi severepainasapossiblecauseofdroppedheadsyndromethatwasattenuatedafteramputationofanischemiclowerlimb |