Subthalamotomy improving camptocormia secondary to Parkinson's disease: a case study

Authors

Keywords:

camptocormia, Parkinson’s disease, postural alterations, subthalamotomy

Abstract

Camptocormia is an extreme forward bending of the trunk, which disappears in the supine position, due to multiple causes. This uncommon postural disorder and its resolution with surgical treatment of the cause are described. A 58-year-old male patient is presented with progressive motor manifestations, given by rigidity, tremor, bradykinesia, walking difficulty, language disorders and postural alterations. Camptocormia became its distinguishing feature. Ablative surgery is performed on the left subthalamic nucleus using stereotactic techniques, improving, in addition to the parkisonian symptoms, the serious disorder of his posture. Parkinson’s disease should be considered as one of the causes of camptocormia, in its advanced stages. The subthalamic nucleus is confirmed as an effective and safe target to treat the motor manifestations of idiopathic Parkinson’s disease, including this type of extreme postural disorder. This case stimulates to explore beyond the classic symptoms and to delve deeper into the atypical manifestations of the idiopathic Parkinson’s disease.

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Author Biographies

María Teresa Solomon-Cardona, Centro Internacional de Restauración Neurológica. La Habana

Especialista de segundo grado en Neurocirugía Jefe de Servicio de Neurocirugía

Ivonne Pedroso-Ibáñez, Centro Internacional de Restauración Neurológica. La Habana

Especialista de segundo grado en Neurología Jefa de la Clínica de Trastornos del Movimiento

Sharon Tejeda-Corcho, Universidad de Ciencias Médicas de La Habana. La Habana

Estudiante de 3er año de Medicina Alumna Ayudante de Neurocirugía

References

1. Souques A, Rosanoff-Saloff. La camptocormie. Incurvation du tronc consecutive aux traumatismes du dos et des lombes; considerations morphologiques. Rev Neurol (Paris). 1915;22:937-9.

2. Miranda CM. Camptocormia: de lo psicogénico a lo orgánico, como etiología de una sorprendente alteración postural y de la marcha. Rev Med Chile. 2012;140:271-2. DOI: 10.4067/S0034-98872012000200019.

3. Yilmaz R, Wolke R, Puls N, et al. Characterizing Camptocormia in Parkinson's Disease Using Muscle Ultrasonography. J Parkinsons Dis. 2023;13(5):819-27. DOI: 10.3233/JPD-230037.

4. Sancho Saldaña A, Lázaro Romero A, Capablo Liesa JL, et al. Camptocormia as the main manifestation of a mutation in the POLG gene. Neurologia (Engl Ed). 2021;36(5):390-2. DOI: 10.1016/j.nrleng.2020.07.015.

5. Lehmann Urban D, Motlagh Scholle L, Alt K, et al. Camptocormia as a Novel Phenotype in a Heterozygous POLG2 Mutation. Diagnostics (Basel). 2020;10(2):68. DOI: 10.3390/diagnostics10020068.

6. Solís Cartas U, Ávalos Pérez MA, Rodríguez Moldón Y, et al. Camptocormia, a propósito de un caso. Rev Cubana Reumatol [Internet]. 2020 [citado 13/02/2024];22:(Supl 1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1817-59962020000400011&lng=es

7. Rotondo J, Toro M, Bolívar M, et al. Dolor en la enfermedad de Parkinson. Una mirada a un aspecto poco conocido de esta patología. Rev Soc Esp Dolor [Internet]. 2019 [citado 13/02/2024];26(3):184-98. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-80462019000300008&lng=es

8. Wang F, He L, Zhao H, et al. Efficacy of Deep Brain Stimulation for Camptocormia in Parkinson's Disease: A Systematic Review and Meta-Analysis. J Integr Neurosci. 2023;22(1):11. DOI: 10.31083/j.jin2201011.

9. Molinari MC. Enfermedad de Parkinson como paradigma de la inestabilidad. La importancia de la terapia física como parte del tratamiento. Geriatría Clínica [Internet]. 2018 [citado 13/02/2024];12(1):27-33. Disponible en: https://adm.meducatium.com.ar/contenido/articulos/15300270033_1076/pdf/15300270033.pdf

10. Azher SN, Jankovic J. Camptocormia: pathogenesis, classification, and response to therapy. Neurology. 2005 Ago;65(3):355-9. DOI: 10.1212/01.wnl.0000171857.09079.9f.

11. Covaro A, Vilá Canet G, Ciccolo F, et al. Síndrome de la espalda inclinada. Presentación de cuatro casos y revisión de la bibliografía. Rev Asoc Argent Ortop Traumatol [Internet]. 2019 [citado 13/02/2024];84(4):393-406. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-74342019000400011&lng=es

12. Lai Y, Song Y, Su D, et al. Pallidal stimulation as treatment for camptocormia in Parkinson's disease. NPJ Parkinsons Dis. 2021;7(1):8. DOI: 10.1038/s41531-020-00151-w.

13. Solomon Cardona MT, Gallo Rodríguez JL, Ricardo de la Fe Y, et al. Subtalamotomía bilateral en dos tiempos para los pacientes con enfermedad de Parkinson Idiopática. Salud Cienc Tecnol [Internet]. 2023 [citado 13/02/2024];3:578. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=9129623

Published

2024-11-06

How to Cite

1.
Solomon-Cardona MT, Pedroso-Ibáñez I, Tejeda-Corcho S. Subthalamotomy improving camptocormia secondary to Parkinson’s disease: a case study. Rev Méd Electrón [Internet]. 2024 Nov. 6 [cited 2025 May 11];46:e5907. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/5907

Issue

Section

Presentation of cases