Subthalamotomy improving camptocormia secondary to Parkinson's disease: a case study
Keywords:
camptocormia, Parkinson’s disease, postural alterations, subthalamotomyAbstract
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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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
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