Camptocormia in Parkinson's disease mimicked by focal myositis of the paraspinal muscles
Identifieur interne : 004549 ( Main/Exploration ); précédent : 004548; suivant : 004550Camptocormia in Parkinson's disease mimicked by focal myositis of the paraspinal muscles
Auteurs : Silke Wunderlich [Allemagne] ; Ilona Csoti [Allemagne] ; Karlheinz Reiners [Allemagne] ; Thomas Günthner-Lengsfeld [Allemagne] ; Christiane Schneider [Allemagne] ; Georg Becker [Allemagne] ; Markus Naumann [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2002-05.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Personne âgée.
English descriptors
- KwdEn :
- Anti-Inflammatory Agents (therapeutic use), Back, Biopsy, Needle, Case study, Complication, Creatine Kinase (blood), Diagnosis, Differential, Differential diagnostic, Elderly, Humans, Kyphosis (diagnosis), Kyphosis (etiology), Localized, Magnetic Resonance Imaging, Male, Methylprednisolone (therapeutic use), Middle Aged, Myositis, Myositis (complications), Myositis (diagnosis), Myositis (drug therapy), Parkinson Disease (complications), Parkinson disease, Parkinson's disease, Posture, Treatment Outcome, bent spine, camptocormia, focal myositis.
- MESH :
- chemical , blood : Creatine Kinase.
- chemical , therapeutic use : Anti-Inflammatory Agents, Methylprednisolone.
- complications : Myositis, Parkinson Disease.
- diagnosis : Kyphosis, Myositis.
- drug therapy : Myositis.
- etiology : Kyphosis.
- Back, Biopsy, Needle, Diagnosis, Differential, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Posture, Treatment Outcome.
Abstract
We report on a 63‐year‐old man with idiopathic Parkinson's disease who developed kyphosis and a severe forward flexion of the thoracolumbar spine. A typical feature was an increase during walking or standing and it completely disappeared in the supine position, mimicking the clinical phenomenon of camptocormia (bent spine). In addition to the abnormal posture, a weakness of the erector spinal muscles, local pain, reddening, and elevated temperature of the paraspinal muscles were evident. Creatine kinase was initially elevated, electromyography showed spontaneous activity and a myopathic pattern. Magnetic resonance imaging and bioptic examinations revealed a focal myositis of the paraspinal muscles. This case indicates that camptocormia can be mimicked by focal myositis of paraspinal muscles and must be included in the differential diagnosis, especially when additional symptoms as inflammatory signs or weakness are present. © 2002 Movement Disorder Society.
Url:
DOI: 10.1002/mds.10110
Affiliations:
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A typical feature was an increase during walking or standing and it completely disappeared in the supine position, mimicking the clinical phenomenon of camptocormia (bent spine). In addition to the abnormal posture, a weakness of the erector spinal muscles, local pain, reddening, and elevated temperature of the paraspinal muscles were evident. Creatine kinase was initially elevated, electromyography showed spontaneous activity and a myopathic pattern. Magnetic resonance imaging and bioptic examinations revealed a focal myositis of the paraspinal muscles. This case indicates that camptocormia can be mimicked by focal myositis of paraspinal muscles and must be included in the differential diagnosis, especially when additional symptoms as inflammatory signs or weakness are present. © 2002 Movement Disorder Society.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bavière</li><li>District de Basse-Franconie</li></region><settlement><li>Wurtzbourg</li></settlement></list><tree><country name="Allemagne"><region name="Bavière"><name sortKey="Wunderlich, Silke" sort="Wunderlich, Silke" uniqKey="Wunderlich S" first="Silke" last="Wunderlich">Silke Wunderlich</name></region><name sortKey="Becker, Georg" sort="Becker, Georg" uniqKey="Becker G" first="Georg" last="Becker">Georg Becker</name><name sortKey="Csoti, Ilona" sort="Csoti, Ilona" uniqKey="Csoti I" first="Ilona" last="Csoti">Ilona Csoti</name><name sortKey="Gunthner Engsfeld, Thomas" sort="Gunthner Engsfeld, Thomas" uniqKey="Gunthner Engsfeld T" first="Thomas" last="Günthner-Lengsfeld">Thomas Günthner-Lengsfeld</name><name sortKey="Naumann, Markus" sort="Naumann, Markus" uniqKey="Naumann M" first="Markus" last="Naumann">Markus Naumann</name><name sortKey="Reiners, Karlheinz" sort="Reiners, Karlheinz" uniqKey="Reiners K" first="Karlheinz" last="Reiners">Karlheinz Reiners</name><name sortKey="Schneider, Christiane" sort="Schneider, Christiane" uniqKey="Schneider C" first="Christiane" last="Schneider">Christiane Schneider</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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