alexa Progressive Camptocormia and Dropped Head Syndrome Induced By Chemoradiotherapy for Base of Tongue Carcinoma. Case Report | OMICS International | Abstract
ISSN: 2165-7920

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Research Article

Progressive Camptocormia and Dropped Head Syndrome Induced By Chemoradiotherapy for Base of Tongue Carcinoma. Case Report

Allan Hiroshi de Araujo Ono1, Flavio Gerardo Benites Zelada1, Douglas Kenji Narazaki1*, Willian Gemio Jacobsen Teixeira1, Raphael Martus Marcon1, Alexandre Fogaça Cristante2and Tarcísio Eloy Pessoa Barros Filho2
1Spine Surgery Division, Institute of Orthopedics and Traumatology, Hospital of the University of Medical School Clinics, Brazil
2Spine Surgery Division, Laboratory of Medical Investigation, Institute of Orthopedics and Traumatology, Hospital of the University of Medical School Clinics, Brazil
Corresponding Author : Douglas Kenji Narazaki
Spinal Tumors Division, Institute of Orthopedics and Traumatology
Hospital of the University of Medical School Clinics
Brazil
Tel: (+55 11) 2661-6912
E-mail: [email protected]
Received September 01, 2015; Accepted October 04, 2015; Published October 11, 2015
Citation:Ono AHA, Zelada FGB, Narazaki DK, Teixeira WGJ, Marcon RM, et al. (2015) Progressive Camptocormia and Dropped Head Syndrome Induced By Chemoradiotherapy for Base of Tongue Carcinoma. Case Report. J Clin Case Rep 5:613. doi:10.4172/2165-7920.1000613
Copyright: © 2015 Shkalim-Zemer V, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

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, camptocormia was diagnosed, and initially treated conservatively. Ten months later, the deformity became rigid, and he was operated with Ponte and pedicle subtraction osteotomies in thoracic and lumbar spine, and C3 to sacrum arthrodesis with instrumentation. The patient resumed professional activities by the third month. Oncological screening showed no tumoral recurrence or distant metastases, after one year from last surgery. Conclusion: This is the first report of dropped head syndrome and camptocormia in the same patient, due radiosensibilizing chemotherapy for a nasopharyngeal carcinoma.

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