Dropped head syndrome: diagnosis and management
Identifieur interne : 000000 ( Pmc/Curation ); suivant : 000001Dropped head syndrome: diagnosis and management
Auteurs : Allan R. Martin ; Rajesh Reddy ; Michael G. FehlingsSource :
- Evidence-Based Spine-Care Journal [ 1663-7976 ] ; 2011.
Abstract
Dropped head syndrome (DHS) is a relatively rare condition, with a broad differential diagnosis. This deformity has significant implications on the health and quality of life of affected individuals. While surgery seems to be an obvious therapeutic option, there is a paucity of information on surgical intervention with no clear consensus on an optimal approach or timing.
We present a case of DHS in a young woman to illustrate this condition, and review the current literature. Although at present the only definitive solution for correction and stabilization of DHS is surgical intervention involving multilevel instrumented fixation and fusion, this condition requires a persistent medical workup and treatment of reversible causes before surgical intervention is contemplated.
Url:
DOI: 10.1055/s-0030-1267104
PubMed: 23637681
PubMed Central: 3621852
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Dropped head syndrome: diagnosis and management</title><author><name sortKey="Martin, Allan R" sort="Martin, Allan R" uniqKey="Martin A" first="Allan R." last="Martin">Allan R. Martin</name><affiliation><nlm:aff id="AF02041-1"><institution>Division of Neurosurgery and Krembil Neuroscience-Spinal Program, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada</institution></nlm:aff></affiliation></author><author><name sortKey="Reddy, Rajesh" sort="Reddy, Rajesh" uniqKey="Reddy R" first="Rajesh" last="Reddy">Rajesh Reddy</name><affiliation><nlm:aff id="AF02041-1"><institution>Division of Neurosurgery and Krembil Neuroscience-Spinal Program, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada</institution></nlm:aff></affiliation></author><author><name sortKey="Fehlings, Michael G" sort="Fehlings, Michael G" uniqKey="Fehlings M" first="Michael G." last="Fehlings">Michael G. Fehlings</name><affiliation><nlm:aff id="AF02041-1"><institution>Division of Neurosurgery and Krembil Neuroscience-Spinal Program, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada</institution></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23637681</idno><idno type="pmc">3621852</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3621852</idno><idno type="RBID">PMC:3621852</idno><idno type="doi">10.1055/s-0030-1267104</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">000000</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000000</idno><idno type="wicri:Area/Pmc/Curation">000000</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000000</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Dropped head syndrome: diagnosis and management</title><author><name sortKey="Martin, Allan R" sort="Martin, Allan R" uniqKey="Martin A" first="Allan R." last="Martin">Allan R. Martin</name><affiliation><nlm:aff id="AF02041-1"><institution>Division of Neurosurgery and Krembil Neuroscience-Spinal Program, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada</institution></nlm:aff></affiliation></author><author><name sortKey="Reddy, Rajesh" sort="Reddy, Rajesh" uniqKey="Reddy R" first="Rajesh" last="Reddy">Rajesh Reddy</name><affiliation><nlm:aff id="AF02041-1"><institution>Division of Neurosurgery and Krembil Neuroscience-Spinal Program, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada</institution></nlm:aff></affiliation></author><author><name sortKey="Fehlings, Michael G" sort="Fehlings, Michael G" uniqKey="Fehlings M" first="Michael G." last="Fehlings">Michael G. Fehlings</name><affiliation><nlm:aff id="AF02041-1"><institution>Division of Neurosurgery and Krembil Neuroscience-Spinal Program, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada</institution></nlm:aff></affiliation></author></analytic><series><title level="j">Evidence-Based Spine-Care Journal</title><idno type="ISSN">1663-7976</idno><idno type="eISSN">1869-4136</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Dropped head syndrome (DHS) is a relatively rare condition, with a broad differential diagnosis. This deformity has significant implications on the health and quality of life of affected individuals. While surgery seems to be an obvious therapeutic option, there is a paucity of information on surgical intervention with no clear consensus on an optimal approach or timing.</p><p>We present a case of DHS in a young woman to illustrate this condition, and review the current literature. Although at present the only definitive solution for correction and stabilization of DHS is surgical intervention involving multilevel instrumented fixation and fusion, this condition requires a persistent medical workup and treatment of reversible causes before surgical intervention is contemplated.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Petheram, T G" uniqKey="Petheram T">T G Petheram</name></author><author><name sortKey="Hourigan, P G" uniqKey="Hourigan P">P G Hourigan</name></author><author><name sortKey="Emran, I M" uniqKey="Emran I">I M Emran</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gourie Devi, M" uniqKey="Gourie Devi M">M Gourie-Devi</name></author><author><name sortKey="Nalini, A" uniqKey="Nalini A">A Nalini</name></author><author><name sortKey="Sandhya, S" uniqKey="Sandhya S">S Sandhya</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Evid Based Spine Care J</journal-id><journal-id journal-id-type="iso-abbrev">Evid Based Spine Care J</journal-id><journal-id journal-id-type="publisher-id">EBSJ</journal-id><journal-title-group><journal-title>Evidence-Based Spine-Care Journal</journal-title></journal-title-group><issn pub-type="ppub">1663-7976</issn><issn pub-type="epub">1869-4136</issn><publisher><publisher-name>© AOSpine International</publisher-name><publisher-loc>Stettbachstrasse 6 8600 Dübendorf, Switzerland</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23637681</article-id><article-id pub-id-type="pmc">3621852</article-id><article-id pub-id-type="doi">10.1055/s-0030-1267104</article-id><article-id pub-id-type="publisher-id">02041</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Dropped head syndrome: diagnosis and management</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Martin</surname><given-names>Allan R.</given-names></name><xref rid="AF02041-1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><name><surname>Reddy</surname><given-names>Rajesh</given-names></name><xref rid="AF02041-1" ref-type="aff">1</xref><xref rid="CO02041-1" ref-type="author-notes"></xref></contrib><contrib contrib-type="author"><name><surname>Fehlings</surname><given-names>Michael G.</given-names></name><xref rid="AF02041-1" ref-type="aff">1</xref></contrib></contrib-group><aff id="AF02041-1"><label>1</label><institution>Division of Neurosurgery and Krembil Neuroscience-Spinal Program, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada</institution></aff><author-notes><corresp id="CO02041-1"><bold>Address for correspondence </bold>Dr. Rajesh Reddy<email>rajreddy@me.com</email></corresp></author-notes><pub-date pub-type="ppub"><month>5</month><year>2011</year></pub-date><volume>2</volume><issue>2</issue><fpage>41</fpage><lpage>47</lpage><history></history><permissions><copyright-statement>© Thieme Medical Publishers</copyright-statement></permissions><abstract><p>Dropped head syndrome (DHS) is a relatively rare condition, with a broad differential diagnosis. This deformity has significant implications on the health and quality of life of affected individuals. While surgery seems to be an obvious therapeutic option, there is a paucity of information on surgical intervention with no clear consensus on an optimal approach or timing.</p><p>We present a case of DHS in a young woman to illustrate this condition, and review the current literature. Although at present the only definitive solution for correction and stabilization of DHS is surgical intervention involving multilevel instrumented fixation and fusion, this condition requires a persistent medical workup and treatment of reversible causes before surgical intervention is contemplated.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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