Prolonged head ptosis as a result of alcohol and/or drug intoxication can result in neurological sequelae.
Clinical features:
(1) the patient is intoxication with alcohol and/or drugs
(2) the patient has an abnormal posture for a prolonged period with head ptosis
(3) the prolonged head ptosis causes acute intervertebral disc disruption
(4) acute mid-cervical myelopathy with:
(4a) muscle weakness including quadriparesis.
(4b) MRI abnormalities in the spinal cord
(4c) rhabdomyolysis of deep cervical muscles
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Specialty: Toxicology, Pharmacology, clinical, Emergency Medicine
