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NEUROLOGY 1996;46:917-921
© 1996 American Academy of Neurology

Isolated neck extensor myopathy

A common cause of dropped head syndrome

J. S. Katz, MD, G. I. Wolfe, MD, D. K. Burns, MD, W. W. Bryan, MD, J. L. Fleckenstein, MD and R. J. Barohn, MD

From the Departments of Neurology (Drs. Katz, Wolfe, Bryan, and Barohn), Pathology (Dr. Burns), and Radiology (Dr. Fleckenstein), University of Texas Southwestern Medical Center, Dallas, TX.
Presented in part at the Carrell-Krusen Symposium, Texas Scottish Rite Hospital for Children, Dallas, TX, February 1995.
Received July 24, 1995. Accepted in final form August 25, 1995.
Address correspondence and reprint requests to Dr Wolfe. Department of Neurology. University of Texas Southwestern Medical Center. 5323 Harry Hines Blvd., Dallas, TX 75235-8897.

We report four patients with ``dropped head syndrome,'' a recently described nonprogressive myopathy characterized by severe neck extensor weakness.This relatively benign condition may be confused with more ominous neuromuscular disorders that also present with prominent neck weakness. We compared clinical and laboratory data from the patients with dropped head syndrome with findings from patients with head drop caused by other neuromuscular conditions. Patients with ``isolated neck extensor myopathy,'' a term we prefer to ``dropped head syndrome,'' could be readily identified with electrophysiologic, radiographic, and histologic studies.

NEUROLOGY 1996;46: 917-921




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