Head drop and flaccid weakness in infantile nephrotic syndro
Dropped head syndrome (DHS) is characterized by severe weakness of the cervical paraspinal muscles, most commonly associated with neuromuscular disorders.

Although hypokalemia has been listed as a cause of DHS,[2] very few cases of hypokalemic weakness have been reported in children with nephrotic syndrome.

Published in the Indian Journal of Nephrology, the authors report a case of infantile nephrotic syndrome who presented with sudden onset head drop and flaccid weakness due to hypokalemia.

In this case, recurrent diarrhea, prolonged diuretic and corticosteroid use, poor intake, and malnutrition causing hypokalemia have been explained. The condition was rapidly reversed by potassium and magnesium supplementation.

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