6533b85bfe1ef96bd12bb33a
RESEARCH PRODUCT
Camptocormia associated with focal myositis in multiple-system atrophy
Hans H. GoebelGeorges DoomsHans-michael MeinckNico J. DiederichNico J. DiederichKatie KompolitiFrank HuberAnja Bumbsubject
Pathologymedicine.medical_specialtyMuscle biopsymedicine.diagnostic_testbusiness.industryMagnetic resonance imagingmedicine.diseaseTrunkHyperintensityCamptocormiaAtrophyNeurologyBiopsymedicineNeurology (clinical)businessMyositisdescription
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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2005-10-06 | Movement Disorders |