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Camptocormia associated with focal myositis in multiple-system atrophy

✍ Scribed by Nico J. Diederich; Hans H. Goebel; Georges Dooms; Anja Bumb; Frank Huber; Katie Kompoliti; Hans-Michael M. Meinck

Publisher
John Wiley and Sons
Year
2005
Tongue
English
Weight
195 KB
Volume
21
Category
Article
ISSN
0885-3185

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✦ Synopsis

Abstract

Camptocormia (CC) or pronounced forward flexion of the trunk is a common symptom of Parkinson's disease. We describe 2 patients with probable, respectively possible multiple‐system atrophy and CC. Magnetic resonance imaging of the erector trunci showed focal patchy hyperintensities with gadolinium enhancement and muscle biopsy was indicative of variably pronounced focal myositis. CC was progressive and the major handicap for both patients after 1 and 1.5 years of follow‐up, respectively. The therapeutic response was poor. Similarities with the dropped‐head syndrome suggest that the muscle pathology may be either the primary cause of CC, a focal reaction to the CC posture, or a coincident syndrome of old age. © 2005 Movement Disorder Society

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