Журнал клинических случаев

Dropped Head Syndrome Secondary to Parkinson′s Disease: A Case Report

Abstract

Vu TT, Nguyen OK, Ngo DQ, Nguyen HT, Do RN, Tieu VC, Le TD, Nguyen TTB, Tran KD, Bui LH, Ha TD, Ngo LT, Diep PN and Nguyen TT1

Dropped head syndrome occurs when the posterior musculature complex of the neck is weakened by different disorders, including Parkinson’s disease. We present a 48 year-old female patient visiting our clinic because of neck weakness and difficulty in maintaining her horizontal gaze. Her past medical history revealed a Parkinson’s disease discovered 6 months prior to admission, well controlled with oral medications. She then underwent a posterior cervical surgery including C2 to T3 instrumentation and correction in addition with C3 to C6 laminoplasty. After the operation, all radiological parameters returned to optimal values and the patient was satisfied with the result. Dropped head syndrome with failed conservative treatment can be successfully treated by surgical intervention with instrumentation from upper cervical to upper thoracic region and deformity correction.