“…The muscular pseudo-hypertrophy involves various cervical and shoulder muscles, either unilaterally or bilaterally. Langohr et al (2007) and Ghuman et al (2012) reported the pseudo-hypertrophy of the left splenius and right serratusventraliscervicis, while Singh et al (2017) reported the hypertrophy of brachiocephalicus, trapazius, sternocephalicus, and serratuscervicis muscles. In the present case, excessive pseudo-hypertrophy of left splenius, left and right serratuscervicis, brachiocephalicus, and pectoral muscles were observed, while supraspinatus, trapazius, omotransversarius, deltoideus and part of triceps were remarkably either enlarged or atrophied.…”