6533b872fe1ef96bd12d393a
RESEARCH PRODUCT
Late onset of dropped head syndrome following mantle radiation therapy for Hodgkin lymphoma.
Camilla FerranteCarmine AttanasiVincenzo Di StefanoAntonio Di Muziosubject
Malemedicine.medical_specialtyWeaknessOrthotic DevicesNeuromuscular diseaseTime Factorsmedicine.medical_treatmentLate onsetElectromyographyMuscular Atrophy Spinal03 medical and health sciences0302 clinical medicineAtrophyCancer SurvivorsNeck MusclesRare DiseasePhysiotherapy (rehabilitation)medicineHumansBrachial Plexus NeuropathiesSpinal cordmedicine.diagnostic_testRadiotherapybusiness.industryGeneral MedicineSyndromeNeuromuscular diseaseMiddle Agedmedicine.diseaseSpinal cordHodgkin DiseaseExercise TherapyRadiation therapymedicine.anatomical_structureTreatment Outcome030220 oncology & carcinogenesisShoulder girdleSettore MED/26 - NeurologiaRadiologymedicine.symptomHaematology (incl blood transfusion)business030217 neurology & neurosurgerydescription
Dropped head syndrome (DHS) is a rare condition, characterised by weakness of the cervical paraspinal muscles with sagging of the head. It is usually seen in association with neurological disorders and rarely can follow radiotherapy. We report a case of a 54-year-old man survivor of Hodgkin lymphoma (HL), who developed DHS 28 years after radiotherapy. He was referred to our department due to progressive weakness and atrophy of cervical paraspinal and shoulder girdle musculature. Physical and neurophysiological examination, electromyography and MRI confirmed the diagnosis of DHS. In the following years, there was no progression of symptoms.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2018-12-01 | BMJ case reports |