‘Dropped head syndrome’ (DHS) can be associated with several neurological diseases. It is particularly of great challenge to manage such cases where there is absence of neurological clues to the underlying cause of DHS. The restricted weakness of extensor muscles of the neck is relatively a rare condition which has been designated as DHS or ‘dropped head syndrome’ and it may be associated with a significant number of neurological diseases, such as motor-neuron, neuromuscular and neurodegenerative disorders. When DHS is accompanied by neurological features of such disorders, potential causes, like dystonia and myositis can be confirmed, thereby facilitating the selection of the treatment. We report a case of myasthenia gravis (MG) who was treated with Pyridostigmine and Methyl Prednisolone which demonstrated significant improvement.
Key words: Dropped Head Syndrome (DHS), Myasthenia gravis, neurological disease.