Article

PURPOSE: To identify and highlight the variable causes of camptocormia.
METHOD: Literature review. RESULTS: Camptocormia (bent spine syndrome) is an acquired
postural disease characterised by forward flexion of the thoraco-lumbar spine.
Camptocormia leads to lumbar kyphosis and increases during walking or standing
and completely disappears in supine position. Camptocormia is multicausal due to
central or peripheral nervous system disease, idiopathic or due to some rare
conditions. Camptocormia is most frequently associated with Parkinson's disease.
Other causes include dystonia, multisystem atrophy, Alzheimer's disease,
myopathy, motor neuron disease, myasthenia or chronic inflammatory demyelinating
polyneuropathy. Rare causes include adverse reactions of drugs, disc herniation,
arthritis, spinal trauma, paraneoplastic disorder, or psychiatric disease (more
rarely than previously thought). Camptocormia is diagnosed upon clinical
investigations, imaging of the cerebrum or spine, electromyography or muscle
biopsy. Treatment is limited on supportive conservative measures, to withdrawal of causative drugs, electroconvulsive therapy, surgical correction or deep brain
stimulation and effective only in single patients.
CONCLUSIONS: Camptocormia is
organic in the vast majority of the cases due to neurological disease, or rarely
drugs, trauma, orthopedic abnormalities or idiopathic.
Troubles neuromusculaires
Parkinson - Dystonie - Posture

Langue : ANGLAIS