Occasionally, scoliosis may be associated with head drop or camptocormia
. Did the patient also present with weakness of ante- and retro-flexion of the head or weakness of the erector spinae muscles?
Lang, "Surgical correction of kyphosis in patients with camptocormia
due to Parkinson's disease: a retrospective evaluation," Journal of Neurology, Neurosurgery & Psychiatry, vol.
Conversely, PD is more likely to be considered when global bradykinesia, narrow gait base, reduced arm swing, responsiveness to cues, asymmetric rigidity, bradykinesia, resting tremor, or camptocormia
, or bent-spine syndrome, is characterized by severe flexion of the thoracolumbar region while standing.
Neurologists and other researchers from Europe and the US discuss Ganser syndrome; Cotard syndrome; Capgras syndrome and other delusional misidentification syndromes; De Clerambault syndrome, Othello syndrome, Folie C deux, and variants; Couvade syndrome; possessions; conversion, factitious disorder, and malingering; Munchausen syndrome; camptocormia
; glossolalia and aphasia; violent behavior; culture-specific hyperstartle-plus syndromes; the dancing manias or mass psychogenic illness; and the Alice-in-Wonderland syndrome.
, bukulmus omurga sendromu ya da histerik kifoz olarak da bilinen, kazanilmis postural anormallikle karakterize torakolomber omurganin istemsiz fleksiyon posturudur.
Changes in postural alignment, such as camptocormia
, Pisa syndrome, and scoliosis can also pose additional mechanical limitation when patients with PD attempt to roll over .
Table Common symptoms of multiple system atrophy Camptocormia
(severe anterior flexion of spine) Cold extremities Contractures of hands or feet Inspiratory sighs Jerky, myoclonic postural/action tremor New-onset or increased snoring Orofacial dystonia Pathological crying or laughing Pisa syndrome (pleurothotonus; severe lateral flexion of spine) Proportionate antecollis Severe dysarthria Severe dysphonia Source: Reference 6
Idiopathic Parkinson's disease begins most often between the decades of 40's and 60's.4 PD is characterized by a series of motor and non- motor symptoms that affect a person's functional ability to a great deal these motor and non-motor symptoms give rise to secondary impairments like stooped posture (camptocormia
) gait impairments and difficulty in mobility.5 Apart from medication other treatment options available for PD are physical therapy surgical intervention and deep brain stimulation (DBS) but DBS is not a cost effective treatment also its efficacy and safety are studied in short term studies.6
in Parkinson's disease," Journal of Neurology, vol.
[sup] Pain due to camptocormia
only shows middle improvement with STN or Gpi stimulation.
PD patients commonly show the classic stooped appearance, with flexion of the hips and knees, and rounding of the shoulders, but an important subset of patients shows more severe postural deformities, including camptocormia
, antecollis, Pisa syndrome, and scoliosis [91, 92].