Dramatic Response of Dropped Head Sign to Treatment with Steroid in Parkinsons Disease: Report of Three Cases

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概要

• 論文の詳細を見る

• Neck dystonia is the most common cause of dropped head sign in parkinsonism. Isolated neck extensor myopathy, which is a rare condition, can also cause dropped head sign in parkinsonism, but no improvement has been achieved with immunosuppressive therapy. We report three cases of treatable neck extensor myopathy causing dropped head sign in patients with Parkinsons disease. Needle electromyography and magnetic resonance imaging suggested a restrictive active myopathy affecting neck extensor muscles. All cases responded dramatically to steroid therapy. Routine needle electromyography should be performed to explore treatable myopathy in Parkinsons disease.

著者

• Sunada Yoshihide

  Division Of Neurology Department Of Internal Medicine Kawasaki Medical School

• Murakami Tatsufumi

  Division of Neurology, Department of Internal Medicine, Kawasaki Medical School

• Kurokawa Katsumi

  Division of Neurology, Department of Internal Medicine, Kawasaki Medical School

• Kurokawa Katsumi

  Division of Neurology, Department of Internal Medicine, Kawasaki Medical School, Japan

• Izawa Nana

  Division of Neurology, Department of Internal Medicine, Kawasaki Medical School, Japan

• Hemmi Shoji

  Division of Neurology, Department of Internal Medicine, Kawasaki Medical School, Japan

• Kutoku Yumiko

  Division of Neurology, Department of Internal Medicine, Kawasaki Medical School, Japan

関連論文

• Dramatic Response of Dropped Head Sign to Treatment with Steroid in Parkinsons Disease: Report of Three Cases
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