Parkinson’s Disease with Camptocormia

  • Roongroj Bhidayasiri
  • Daniel Tarsy
Part of the Current Clinical Neurology book series (CCNEU)


Camptocormia is defined as an extreme forward flexion of the thoracolumbar spine which increases while walking and is absent in the recumbent position. The term is an old one, originally used in World War I veterans with presumed battle stress who developed this abnormal posture transiently without other neurological abnormalities. Currently, it is described most commonly in patients with Parkinson’s disease (PD). It can occur either early or late in the disease and usually does not correlate with the severity of other features of parkinsonism. Patients are able to only temporarily extend their spine while standing but are immediately relieved of the symptom after reclining.


Deep Brain Stimulation Multiple System Atrophy Botulinum Toxin Injection Thoracolumbar Spine Abnormal Posture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

PD w. Camptocormia.mp4 (MP4 8,884KB)

Patient is in “on” state with 40° of camptocormia which is absent in a reclining position except for mildly reduced iliopsoas relaxation while reclining. Gait stability is normal except for reduced right arm swing.


  1. 1.
    Azher SN, Jankovic J. Camptocormia. Pathogenesis, classification, and response to therapy. Neurology. 2005;65:355–9.PubMedCrossRefGoogle Scholar
  2. 2.
    Finsterer J, Strobl W. Presentation, etiology, diagnosis, and management of camptocormia. Eur Neurol. 2010;64:1–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Jankovic J. Camptocormia, head drop and other bent spine syndromes: heterogeneous etiology and pathogenesis of parkinsonian deformities. Mov Disord. 2010;25:527–8.PubMedCrossRefGoogle Scholar
  4. 4.
    Margraf NG, Wrede A, Rohr A, et al. Camptocormia in Parkinson’s disease: a focal myopathy of the paravertebral muscles. Mov Disord. 2010;25:542–51.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Roongroj Bhidayasiri
    • 1
    • 2
  • Daniel Tarsy
    • 3
  1. 1.Chulalongkorn Center of Excellence on Parkinson’s Disease and Related DisordersChulalongkorn University HospitalBangkokThailand
  2. 2.Department of NeurologyDavid Geffen School of Medicine at UCLALos AngelesUSA
  3. 3.Department of NeurologyHarvard Medical School Beth Israel Deaconess Medical CenterBostonUSA

Personalised recommendations