I did Paris Brest Paris in 2019 (finished in 89 hours) and got Sherman’s neck for the very end. I saw other riders suffering from it, and one woman who had put her hair in a long braid and then fastened that somehow to hold up her head.
Luckily, for me, it came at the very end and I was able to finish.
Worse was that I compressed my ulnar nerve and had loss of feeling and tingling in my left arm for 6 months.
Lots of good memories from that ride.