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Isolated head drop triggered by neck surgery following concomitant chemoradiotherapy
1Department of Neurology and Pharmacology, Temple University School of Medicine, Philadelphia, PA 19140, USA. jluo@temple.edu
Journal of Clinical Neuromuscular Disease
|March 18, 2008
Summary
Dropped head syndrome (DHS) can occur after cancer treatment. This case highlights acute DHS after neck surgery and chemoradiotherapy for laryngeal cancer, a rare but serious complication.
Area of Science:
- Neurology
- Oncology
- Head and Neck Surgery
Background:
- Dropped head syndrome (DHS) is defined by significant neck extensor muscle weakness.
- Causes of DHS are diverse, including radiotherapy, which can lead to delayed onset.
- Acute DHS following neck surgery post-chemoradiotherapy is exceptionally uncommon.
Observation:
- A patient with laryngeal cancer underwent chemoradiotherapy followed by selective neck dissection.
- The patient developed acute onset of isolated Dropped Head Syndrome post-surgery.
Findings:
- This case presents a rare instance of acute, isolated DHS.
- The syndrome occurred as a direct complication following neck surgery in a patient previously treated with chemoradiotherapy for laryngeal cancer.
Implications:
- This case underscores the importance of recognizing DHS as a potential complication after laryngeal cancer treatment.
- Awareness is crucial for timely diagnosis and management of this debilitating condition in patients undergoing similar treatment protocols.
- Further investigation into the mechanisms and risk factors for acute DHS post-chemoradiotherapy and surgery is warranted.
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