Skeletal Radiology

, Volume 35, Issue 2, pp 110–112 | Cite as

“Dropped-head” syndrome due to isolated myositis of neck extensor muscles: MRI findings

  • Michele Gaeta
  • Silvio MazziottiEmail author
  • Antonio Toscano
  • Carmelo Rodolico
  • Anna Mazzeo
  • Alfredo Blandino
Case Report


MRI findings of a patient with dropped-head syndrome due to focal myositis of the neck extensor muscles are presented. MRI showed oedematous changes and marked enhancement of the neck extensor muscles. After therapy MRI demonstrated disappearance of the abnormal findings.


Dropped-head syndrome Neck Myositis MRI 


  1. 1.
    Lange DJ, Fetell MR, Lovelace RE, et al. The floppy head syndrome. Ann Neurol 1986;20:133Google Scholar
  2. 2.
    Suarez GA, Kelly JJ. The dropped head syndrome. Neurology 1992;42:1625–7PubMedGoogle Scholar
  3. 3.
    Narayanaswami P, Bertorini TE. The dropped head syndrome. J Clin Neuromuscul Dis 2000;2:106–12CrossRefPubMedGoogle Scholar
  4. 4.
    Katz JS, Wolfe GI, Burns DK, Bryan WW, Fleckstein JL, Barohn RJ. Isolated neck extensor myopathy: a common cause of dropped head syndrome. Neurology 1996;46:917–21PubMedGoogle Scholar
  5. 5.
    Jaster JH, Bertorini TE, Swimps MP, et al. Cervical kyphosis after resolution of myopathic head drop: a case report. Spine 1996;21:2023–25PubMedCrossRefGoogle Scholar
  6. 6.
    Biram I, Cohen O, Diment J, et al. Focal, steroid responsive myositis causing dropped head syndrome. Muscle Nerve 1999;22:769–71CrossRefGoogle Scholar
  7. 7.
    Jaster JH, Bertorini TE, Swims MP, et al. Dropped head syndrome (letter). Neurology 1997;48:551PubMedGoogle Scholar
  8. 8.
    Resnick D. Dermatomyositis and polymyositis. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders; 1995. pp. 1218–31Google Scholar
  9. 9.
    Reimers CD, Schedel H, Fleckenstein JL, et al. Magnetic resonance imaging of skeletal muscles in idiopathic inflammatory myopathies of adults. J Neurol 1994;241:306–14PubMedCrossRefGoogle Scholar
  10. 10.
    Fujino H, Kobayashi T, Goto I, Onitsuka H. Magnetic resonance imaging of the muscles in patients with polymyositis and dermatomyositis. Muscle Nerve 1991;14:716–20PubMedCrossRefGoogle Scholar
  11. 11.
    Fleckenstein JL, Reimers CD. Inflammatory myopathies: radiologic evaluation. Radiol Clin North Am 1996;34:427–39PubMedGoogle Scholar
  12. 12.
    McCully K, Shellock FG, Bank WJ, Posner JD. The use of nuclear magnetic resonance to evaluate muscle injury. Med Sci Sports Exerc 1992;24:537–42PubMedGoogle Scholar
  13. 13.
    De Smet AA. Magnetic resonance findings in skeletal muscle tears. Skelet Radiol 1993;22:479–84Google Scholar
  14. 14.
    Shellock FG, Fleckenstein JL. Magnetic resonance imaging of muscle injuries. In: Stoller DW, editor. Magnetic resonance imaging in orthopaedics and sports medicine. 2nd ed. Philadelphia: Lippincott-Raven; 1997. pp. 1341–62Google Scholar
  15. 15.
    Resnick D, Niwayama G. Osteomyelitis, septic arthritis, and soft tissue infection: mechanism and situations. In: Resnick D, editor. Diagnosis of bone and joint disorders. 3rd ed. Philadelphia: Saunders; 1995. 2325–418Google Scholar
  16. 16.
    Calabrese LH, Chou SM. Inclusion body myositis: analysis of 32 cases. J Reumatol 1992;19:1385–9Google Scholar
  17. 17.
    May DA, Good RB, Smith DK, Parsons TW. MR imaging of musculoskeletal tumors and tumor mimickers with intravenous gadolinium: experience with 242 patients. Skelet Radiol 1997;26:2–15CrossRefGoogle Scholar
  18. 18.
    Bredella MA, Tirman PFJ, Fritz RC, Wischer TK, Stork A, Genant HK. Denervation syndromes of the shoulder girdle: MR imaging with electrophysiologic correlation. Skelet Radiol 1999;28:567–72CrossRefGoogle Scholar

Copyright information

© ISS 2005

Authors and Affiliations

  • Michele Gaeta
    • 1
  • Silvio Mazziotti
    • 1
    Email author
  • Antonio Toscano
    • 2
  • Carmelo Rodolico
    • 2
  • Anna Mazzeo
    • 2
  • Alfredo Blandino
    • 1
  1. 1.Department of Radiological SciencesUniversity of MessinaMessinaItaly
  2. 2.Department of Neurosciences, Psychiatry and AnaesthesiologyUniversity of MessinaMessinaItaly

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