title: A Case of Dropped Head plus Syndrome.
abstract: A patient developed neck extensor weakness along with symmetrical, mild proximal extremity weakness. Electrodiagnostic findings were minimal. Subsequently muscle biopsy was undertaken which showed myopathic changes as well as rimmed vacuoles. This case highlights the discussion of histopatholgical findings seen in neck extensor weakness when it occurs in isolation as well as when it is associated with weakness in other distribution.
  
  
  BACKGROUND
  Neck extensor weakness; Rimmed vacuoles; Myopathy.
authors.affiliation: Penn State College of Medicine, Hershey Medical Center, Department of Neurology EC037, 30 Hope Drive, Hershey, PA 17033, USA.
authors.forename: Aiesha
authors.initials: A
authors.lastname: Ahmed
authors.forename: Charles S
authors.initials: CS
authors.lastname: Specht
authors.forename: Kevin
authors.initials: K
authors.lastname: Scott