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Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
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Published on: June 16, 2020

Dropped head syndrome and Systemic sclerosis.

Edoardo Rosato1, Carmelina Rossi, Felice Salsano

  • 1Department of Clinical Medicine-Clinical Immunology and Allergy Unit, Sapienza University of Rome,. Viale dell'Università 37, 00185 Rome, Italy. edorosato@yahoo.it

Joint Bone Spine
|March 27, 2009
PubMed
Summary

Dropped-head syndrome, characterized by neck extensor muscle weakness, is rarely linked to rheumatic diseases. This case highlights a potential association with Systemic Sclerosis, a connective tissue disorder.

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Last Updated: Jun 24, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
04:44

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease

Published on: June 16, 2020

Area of Science:

  • Neurology
  • Rheumatology
  • Pulmonology

Background:

  • Dropped-head syndrome, or isolated weakness of cervical extensor muscles, is a rare clinical sign.
  • It is typically associated with various neuromuscular and some non-neurological disorders.
  • Systemic sclerosis is a multi-organ connective tissue disease with no previously documented link to dropped-head syndrome.

Observation:

  • A 74-year-old woman presented with dropped-head syndrome.
  • The patient also had Systemic Sclerosis and pulmonary hypertension.
  • No signs of myositis were observed.

Findings:

  • This case presents the first reported instance of dropped-head syndrome associated with Systemic Sclerosis.
  • The findings suggest a potential, previously unrecognized link between these conditions.
  • Pulmonary hypertension was a co-occurring condition in this patient.

Implications:

  • This case broadens the understanding of potential neurological manifestations of Systemic Sclerosis.
  • It suggests that dropped-head syndrome should be considered in patients with Systemic Sclerosis presenting with neck weakness.
  • Further research is warranted to explore the pathophysiology and prevalence of this association.