Camptocormia

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Camptocormia is characterised by marked flexion of the thoracolumbar spine that increases during the day.

History

First described by Earle in 1815 and by Brodie in 1837.

Aetiology

  • Parkinson's disease: the most common cause (two third).
  • Other parkinsonian syndromes
  • Dystonia
  • Vascular lenticular lesions
  • Muscular disorders
  • Rheumatologic disorders.

Epidemiology

In those with Parkinson's disease and camptocormia there is a male predominance, older age, longer duration of disease, and autonomic symptoms.[1]

Clinical Features

As the day goes on or during walking there is a progressive marked flexion of the thoracolumbar spine. It is relieved by sitting and lying supine. It can also be relieved volitionally by extending the trunk when the patient leans against a wall. There may be associated lateral deviation of the trunk. In two thirds of patients there is a lumbar or thoracolumbar scoliosis.[1]

References

  1. ā†‘ 1.0 1.1 Benatru, I.; Vaugoyeau, M.; Azulay, J.-P. (2008-12). "Postural disorders in Parkinson's disease". Neurophysiologie Clinique = Clinical Neurophysiology. 38 (6): 459ā€“465. doi:10.1016/j.neucli.2008.07.006. ISSN 0987-7053. PMID 19026965. Check date values in: |date= (help)

Literature Review