Brazil
Research Article
Progressive Camptocormia and Dropped Head Syndrome Induced By
Chemoradiotherapy for Base of Tongue Carcinoma. Case Report
Author(s): Allan Hiroshi de Araujo Ono, Flavio Gerardo Benites Zelada, Douglas Kenji Narazaki, Willian Gemio Jacobsen Teixeira, Raphael Martus Marcon, Alexandre Fogaça Cristante and Tarcísio Eloy Pessoa Barros FilhoAllan Hiroshi de Araujo Ono, Flavio Gerardo Benites Zelada, Douglas Kenji Narazaki, Willian Gemio Jacobsen Teixeira, Raphael Martus Marcon, Alexandre Fogaça Cristante and Tarcísio Eloy Pessoa Barros Filho
Background: Camptocormia (bent spine syndrome) is an acquired postural disease characterized by forward flexion of the thoracolumbar spine. Dropped head syndrome is characterized by severe weakness of the cervical paraspinal muscles, resulting in gradual sagging of the head and culminating in the classic chin-on-chest deformity. Objective: To report, for the first time, a case of dropped head syndrome and camptocormia in the same patient. Methods and results: A 68-years-old man was diagnosed with base tongue squamous cell carcinoma, surgically removed. He had local recurrence and underwent radiosensitive chemotherapy and radiotherapy (35 fractions of 70Gy). After 12 months, he developed progressive cervical extensor muscle weakness, and a flexible chin-on-chest deformity, treated with passive reduction and C3-T3 fixation. Three months later, camptocor.. Read More»
DOI:
10.4172/2165-7920.1000613
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report