RT Journal Article
SR Electronic
T1 Late onset of dropped head syndrome following mantle radiation therapy for Hodgkin lymphoma
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e226822
DO 10.1136/bcr-2018-226822
VO 11
IS 1
A1 Vincenzo Di Stefano
A1 Carmine Attanasi
A1 Camilla Ferrante
A1 Antonio Di Muzio
YR 2018
UL http://casereports.bmj.com/content/11/1/e226822.abstract
AB 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.