Camptocormia

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Under camptocormia , also Latinized camptocormia from gr. Κάμπτειν (kamptein) bow = and κόρμος (Kormos) = hull, is meant an involuntary active flexion of the trunk forward. The cause is an involuntary ( dystonic ) tension of the trunk flexor muscles, which increases when the body is in an upright posture, i.e. especially when standing, less when sitting.

Diseases

Classification according to ICD-10
F44.4 Dissociative movement disorders
ICD-10 online (WHO version 2019)

The camptocormia occurs in

The bent over posture can also be a symptom of hysteria .

treatment

Treatment is difficult. In some cases, injecting botulinum toxin into the abdominal muscles helps , while drugs (e.g. cortisone , L-Dopa ) are rarely effective . In Parkinson's patients, drugs often do not help against camptocormia, even if the patients can otherwise be treated well with medication.

The treatment approach within physiotherapy for camptocormia has not yet been explicitly investigated after studies. Continuous treatment with physical therapy can relieve symptoms, but is unlikely to change course.

The treatment of camptocormia through deep brain stimulation (DBS) is experimental . The reports of treatment successes in DBS are divergent.

literature

  1. Alphabetical directory for the ICD-10-WHO Version 2019, Volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 437
  2. a b c N. Margraf, G. Deuschl: Camptocormia in Parkinson's disease . In: Current Neurology . 37, No. 7, September 2010, pp. 319-326. doi : 10.1055 / s-0030-1248605 .
  3. G. Reichel, A. Stenner, W. Hermann: Therapy options in primary and secondary camptocormia . In: Current Neurology . 32, 2005. doi : 10.1055 / s-2005-919374 .
  4. Study on the safety and effectiveness of activating therapies in patients with Parkinson's syndrome, focus on gait disorders and posture anomalies
  5. N. Allert, AA Miskiewicz, VA Coenen: Deep brain stimulation in Parkinson's disease with camptocormia? A case report . In: Advances in Neurology · Psychiatry . 79, No. 2, 2011, pp. 97-101. doi : 10.1055 / s-0029-1245994 .