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A 23-year-old man, whose identity has not been disclosed, developed a highly unusual and rare medical condition referred to as ‘dropped head syndrome’ following a prolonged struggle with substance abuse that spanned several years.

The disturbing condition was documented by doctors in Iran, who released images showing the shocking angle of the man’s neck. His neck had become so severely weakened that it was no longer able to hold his head upright.

According to the medical team, the man’s prolonged use of amphetamines commonly known as speed was responsible for inducing a condition described as a ‘fixed kyphotic neck position’. In this state, his chin persistently drooped toward his chest and remained there for extended periods.

The patient developed an extreme and visibly distressing curvature at the base of his neck, which specialists believe was the result of regularly using a harmful mix of illicit drugs. His drug intake reportedly included heroin, opium, and amphetamines.

One of the main challenges facing the doctors was determining whether the patient’s severe neck deformity would have occurred naturally, or if it had been directly influenced by his drug habits.

After careful examination, doctors concluded that before the onset of his substance abuse, there was no indication or medical history suggesting that he was predisposed to develop such a rare and debilitating condition.

The man has a history with substance abuseGetty Stock Photo
Dr Majid Rezvani, co-author of the case study, said: “We discovered that drug abuse contributed to the uncommon development of severe complicated cervical kyphosis (excessive rounding of the upper back).”

“The drug does not have a direct effect on musculoskeletal changes’, he explained.”

“Instead there is an indirect effect: when the patient uses the drug, they remain in a certain position for a long time, and over months this results in musculoskeletal changes that led to kyphoscoliosis.”

Also referred to as floppy head syndrome, dropped head syndrome is a rare condition that is most often identified by a pronounced weakness in the muscles that support the neck.

Although this disorder is commonly linked with neuromuscular diseases such as motor neurone disease, medical experts emphasize that substance abuse can also be a trigger in certain cases.

Reports indicate that the Iranian man had been enduring troubling symptoms for approximately 15 months. These included persistent neck pain and paresthesia, a condition marked by abnormal sensations like tingling or prickling.

The man developed the rare condition after a history of substance abuseDepartment of Neurosurgery, Isfahan University of Medical Sciences

He was also experiencing frequent sensations of tingling, numbness, and pins and needles in both of his arms. Despite attempting various home remedies to alleviate the discomfort, nothing seemed to bring lasting relief.

Although the extent of his condition may have appeared obvious to the naked eye, a CT scan provided confirmation, revealing significant deformities in the structure of his spine. Interestingly, doctors observed that when the man was placed under general anaesthesia, his posture temporarily improved, indicating some degree of flexibility.

Surgical intervention was ultimately deemed necessary to remove the affected and deformed bone structure. Fortunately, following the operation, the man demonstrated a remarkable recovery. With the support of a hard neck collar, he was able to walk as early as the day after the surgery was completed.

In addition to receiving surgical treatment, the man also enrolled in a rehabilitation program to address his substance addiction.

The attending physicians were greatly encouraged by his post-operative recovery, especially after observing that his spine had returned to a more normal alignment within a few months.

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