Abstract

A RARE CASE OF DROPPED HEAD SYNDROME (ISOLATED NECK EXTENSOR MYOPATHY)

Dr. Kranti Gouripur, Dr. Arun Kumar S Bilodi*, Dr. P. Rajasekaran,Dr. A. Senthil Ganesh

ABSTRACT

Aim of the study: The objective of present study is to report a rare case of Dropped Head Syndrome that was seen in 29 years old male from Ramanathapuram near Rameshwaram, Tamilnadu, South India. Place of study: This case was studied in the outpatient department of Otorhinolaryngology (ENT) at Velammal Medical College Hospital and Research Institute, Madurai. Period of Study: This case was studied and investigated in detail in the month of May 2014 in the above hospital. Case Report: A young male aged 29years came with history of head drop over the chin and difficulty in having food for one year. He needed support to have food. On examination he had atrophy of muscles of posterior aspect of the neck, associated with wasting of extensor muscles of the neck. He was thoroughly investigated and found to have left vocal cord palsy and wasting of extensor muscles of the neck by undergoing videolaryngoscopy. This study was compared and well correlated with available literature. Conclusion: Since this is a rare case of Dropped Head Syndrome associated with atrophy of the extensor muscles in the cervical region and left vocal cord palsy hence this syndrome made us interesting to study.

Keywords: Head dropping, left cord palsy hooding of epiglottis, wasting of extensor muscles of the neck, isolated neck extensor myopathy