Camptocormia as presenting manifestation of a spectrum of myopathic disorders

Partha S. Ghosh, Margherita Milone

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Introduction: Camptocormia is the involuntary flexion of the thoracolumbar spine leading to an abnormal posture. Methods: We retrospectively identified patients with myopathy who manifested with camptocormia and were seen in our neuromuscular clinic. The diagnosis of myopathy was based on myopathic electromyographic changes, often accompanied by 1 or more of the following: elevated creatine kinase (CK); myopathic histopathological findings; and genetic confirmation. Results: Fifty-two patients were identified; 35 had symptoms limited to camptocormia, but were found to have additional weakness of facial (8 patients), neck (11 patients), and limb muscles (17 patients). CK values were normal or mildly to moderately elevated. MRI/CT of the spine showed paraspinal muscle atrophy and fat replacement. Facioscapulohumeral muscular dystrophy and sporadic inclusion body myositis were the most commonly identified myopathies in this cohort. Conclusions: Despite the difficulty in characterizing the myopathy in patients with camptocormia, a definitive diagnosis was possible in 54% of cases. The pattern of associated extra-axial weakness may provide clues to the diagnosis.

Original languageEnglish (US)
Pages (from-to)1008-1012
Number of pages5
JournalMuscle and Nerve
Volume52
Issue number6
DOIs
StatePublished - Dec 1 2015

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Muscular Diseases
Creatine Kinase
Spine
Facioscapulohumeral Muscular Dystrophy
Inclusion Body Myositis
Paraspinal Muscles
Muscular Atrophy
Posture
Camptocormia
Reference Values
Neck
Extremities
Fats
Muscles

Keywords

  • Axial myopathy
  • Bent spine syndrome
  • Camptocormia
  • Muscle weakness
  • Myopathy

ASJC Scopus subject areas

  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)
  • Physiology
  • Medicine(all)

Cite this

Camptocormia as presenting manifestation of a spectrum of myopathic disorders. / Ghosh, Partha S.; Milone, Margherita.

In: Muscle and Nerve, Vol. 52, No. 6, 01.12.2015, p. 1008-1012.

Research output: Contribution to journalArticle

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