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Eight cases of sudden-onset dropped head syndrome: patient series
BACKGROUND: As the proportion of elderly people continues to increase, the number of patients with dropped head syndrome (DHS) also grows. However, the relationship between onset and clinical course of DHS has hardly been studied, particularly, that of sudden-onset DHS has not been reported and rema...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Association of Neurological Surgeons
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9435544/ https://www.ncbi.nlm.nih.gov/pubmed/36059718 http://dx.doi.org/10.3171/CASE21177 |
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author | Endo, Kenji Sawaji, Yasunobu Aihara, Takato Suzuki, Hidekazu Murata, Kazuma Matsuoka, Yuji Nishimura, Hirosuke Takamatsu, Taichiro Konishi, Takamitsu Yamamoto, Kengo |
author_facet | Endo, Kenji Sawaji, Yasunobu Aihara, Takato Suzuki, Hidekazu Murata, Kazuma Matsuoka, Yuji Nishimura, Hirosuke Takamatsu, Taichiro Konishi, Takamitsu Yamamoto, Kengo |
author_sort | Endo, Kenji |
collection | PubMed |
description | BACKGROUND: As the proportion of elderly people continues to increase, the number of patients with dropped head syndrome (DHS) also grows. However, the relationship between onset and clinical course of DHS has hardly been studied, particularly, that of sudden-onset DHS has not been reported and remains unclear. OBSERVATIONS: Sudden-onset DHS was defined as presenting with chin on chest deformity within 3 days from the time of awareness of cervical weakness. Sixty-six patients with DHS visited our facility. Among them, 8 of the total cases (12.1%) had experienced sudden onset DHS (6 females and 2 males; average age: 71.9 ± 10.9 years). Six of 8 cases showed recovery by conservative treatment, whose first interventions were from 0.1 to 12 months, but 3 experienced recurrence. Diffuse spinal kyphotic-type DHS was seen in 2 cases, and both had recurring horizontal gaze disturbance after initial recovery. Two unimproved cases underwent surgery of combined anterior and posterior cervical fixation, and their first interventions were at 5 and 24 months. After surgery, cervical sagittal alignment was improved, and they could walk maintaining horizontal gaze. LESSONS: Sudden-onset DHS can be expected to have a better outcome, but recurrence is possible in global imbalanced-type DHS. |
format | Online Article Text |
id | pubmed-9435544 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | American Association of Neurological Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-94355442022-09-02 Eight cases of sudden-onset dropped head syndrome: patient series Endo, Kenji Sawaji, Yasunobu Aihara, Takato Suzuki, Hidekazu Murata, Kazuma Matsuoka, Yuji Nishimura, Hirosuke Takamatsu, Taichiro Konishi, Takamitsu Yamamoto, Kengo J Neurosurg Case Lessons Case Lesson BACKGROUND: As the proportion of elderly people continues to increase, the number of patients with dropped head syndrome (DHS) also grows. However, the relationship between onset and clinical course of DHS has hardly been studied, particularly, that of sudden-onset DHS has not been reported and remains unclear. OBSERVATIONS: Sudden-onset DHS was defined as presenting with chin on chest deformity within 3 days from the time of awareness of cervical weakness. Sixty-six patients with DHS visited our facility. Among them, 8 of the total cases (12.1%) had experienced sudden onset DHS (6 females and 2 males; average age: 71.9 ± 10.9 years). Six of 8 cases showed recovery by conservative treatment, whose first interventions were from 0.1 to 12 months, but 3 experienced recurrence. Diffuse spinal kyphotic-type DHS was seen in 2 cases, and both had recurring horizontal gaze disturbance after initial recovery. Two unimproved cases underwent surgery of combined anterior and posterior cervical fixation, and their first interventions were at 5 and 24 months. After surgery, cervical sagittal alignment was improved, and they could walk maintaining horizontal gaze. LESSONS: Sudden-onset DHS can be expected to have a better outcome, but recurrence is possible in global imbalanced-type DHS. American Association of Neurological Surgeons 2021-11-29 /pmc/articles/PMC9435544/ /pubmed/36059718 http://dx.doi.org/10.3171/CASE21177 Text en © 2021 The authors https://creativecommons.org/licenses/by-nc-nd/4.0/CC BY-NC-ND 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ). |
spellingShingle | Case Lesson Endo, Kenji Sawaji, Yasunobu Aihara, Takato Suzuki, Hidekazu Murata, Kazuma Matsuoka, Yuji Nishimura, Hirosuke Takamatsu, Taichiro Konishi, Takamitsu Yamamoto, Kengo Eight cases of sudden-onset dropped head syndrome: patient series |
title | Eight cases of sudden-onset dropped head syndrome: patient series |
title_full | Eight cases of sudden-onset dropped head syndrome: patient series |
title_fullStr | Eight cases of sudden-onset dropped head syndrome: patient series |
title_full_unstemmed | Eight cases of sudden-onset dropped head syndrome: patient series |
title_short | Eight cases of sudden-onset dropped head syndrome: patient series |
title_sort | eight cases of sudden-onset dropped head syndrome: patient series |
topic | Case Lesson |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9435544/ https://www.ncbi.nlm.nih.gov/pubmed/36059718 http://dx.doi.org/10.3171/CASE21177 |
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