Parkinson’s Disease with Camptocormia
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.
KeywordsDeep Brain Stimulation Multiple System Atrophy Botulinum Toxin Injection Thoracolumbar Spine Abnormal Posture
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.