{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T08:39:33Z","timestamp":1778747973636,"version":"3.51.4"},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:p>\u2713The authors present a rare case of cervical myelopathy caused by dropped head syndrome. This 68-year-old woman presented with her head hanging forward. After 1 month, she was admitted to the medical service because of head drop progression. Examination of biopsy specimens from her cervical paraspinal muscles showed nonspecific myopathic features without inflammation, and isolated neck extensor myopathy was diagnosed. The patient\u2019s condition did not respond to the administration of corticosteroids. During follow up as an outpatient, the patient\u2019s head drop continued to gradually progress. At 1 year after onset, she developed bilateral weakness of the upper and lower extremities, clumsiness of the hands, and gait disturbance. A radiograph of the cervical spine obtained in a standing position showed a pronounced kyphotic deformity and instability at the level of C4\u20135. Magnetic resonance imaging demonstrated spinal cord compression at C-3 and C-4. The patient underwent a C3\u20134 laminectomy and occipitocervicothoracic fixation. Gait and hand coordination gradually improved, and she was able to walk with no support 1 month postoperatively. Surgical fixation was beneficial in this patient with dropped head syndrome, myelopathy, and cervical instability.<\/jats:p>","DOI":"10.3171\/spi.2007.6.2.165","type":"journal-article","created":{"date-parts":[[2008,1,24]],"date-time":"2008-01-24T13:15:32Z","timestamp":1201180532000},"page":"165-168","source":"Crossref","is-referenced-by-count":36,"title":["Cervical myelopathy caused by dropped head syndrome"],"prefix":"10.3171","volume":"6","author":[{"given":"Kinya","family":"Nakanishi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kinki University School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mamoru","family":"Taneda","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kinki University School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihisa","family":"Sumii","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kinki University School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomonari","family":"Yabuuchi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kinki University School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihiro","family":"Iwakura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kinki University School of Medicine, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1-0060165","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1080\/02688690410001732779","volume":"18","author":"Amin A","year":"2004","journal-title":"Br J Neurosurg"},{"key":"b2-0060165","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.58.2.232"},{"key":"b3-0060165","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.74.5.683"},{"key":"b4-0060165","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1111\/j.1749-6632.1981.tb33764.x","volume":"377","author":"Grob D","year":"1981","journal-title":"Ann N Y Acad Sci"},{"key":"b5-0060165","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1002\/mus.880170717","volume":"17","author":"Hoffman D","year":"1994","journal-title":"Muscle Nerve"},{"key":"b6-0060165","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1212\/WNL.45.5.993","volume":"45","author":"Hund E","year":"1995","journal-title":"Neurology"},{"key":"b7-0060165","doi-asserted-by":"publisher","DOI":"10.1002\/mds.20948"},{"key":"b8-0060165","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.1212\/01.wnl.0000183283.97098.d8","volume":"65","author":"Katirji B","year":"2005","journal-title":"Neurology"},{"key":"b9-0060165","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.46.4.917"},{"key":"b10-0060165","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1097\/01.bsd.0000123423.12852.bb","volume":"17","author":"Kawaguchi A","year":"2004","journal-title":"J Spinal Disord Tech"},{"key":"b11-0060165","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1002\/mus.880110512","volume":"11","author":"Kuncl RW","year":"1988","journal-title":"Muscle Nerve"},{"key":"b12-0060165","first-page":"133","volume":"20","author":"Lange DJ","year":"1986","journal-title":"Ann Neurol"},{"issue":"8642","key":"b13-0060165","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1016\/S0140-6736(89)92300-3","volume":"333","author":"Quinn N","year":"1989","journal-title":"Lancet"},{"key":"b14-0060165","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1002\/(SICI)1097-4598(199901)22:1<115::AID-MUS18>3.0.CO;2-C","volume":"22","author":"Rose MR","year":"1999","journal-title":"Muscle Nerve"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/6\/2\/article-p165.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/6\/2\/article-p165.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,29]],"date-time":"2021-05-29T00:26:50Z","timestamp":1622248010000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/6\/2\/article-p165.xml"}},"subtitle":["Case report and review of the literature"],"short-title":[],"issued":{"date-parts":[[2007,2]]},"references-count":14,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/spi.2007.6.2.165","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2007,2]]}}}