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Case Reports
. 2010 Jul;19 Suppl 2(Suppl 2):S87-90.
doi: 10.1007/s00586-009-1086-6. Epub 2009 Jul 10.

Painful camptocormia: the relevance of shaking your patient's hand

Affiliations
Case Reports

Painful camptocormia: the relevance of shaking your patient's hand

Arnaud Dupeyron et al. Eur Spine J. 2010 Jul.

Abstract

Camptocormia is an abnormal posture with marked flexion of thoracolumbar spine that abates in the recumbent position. Camptocormia has been described in various neurological (Parkinsonism), muscular (myopathy), psychogenic or orthopedic disorders. There are several hypotheses that can explain this impaired posture but they are usually related to the concomitant pathologies. We report the first case of a patient with confirmed myotonic dystrophy addressed to our medical center for impaired posture who underwent extensive medical exams and explorations because of a myotonic hand. Axial weakness and muscle atrophy, validated by CT-scan imaging, are discussed independent of the concomitant pathology (Parkinson, myopathy).

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Figures

Fig. 1
Fig. 1
Photograph of the patient in standing position. Patient consent was obtained for publication of this figure
Fig. 2
Fig. 2
Disk degeneration and degenerative facet hypertrophy associated with severe paraspinal amyotrophy

References

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