High-frequency pallidal stimulation for camptocormia in parkinson disease: Case report

Nova B. Thani, Arul Bala, Thomas E. Kimber, Christopher R.P. Lind

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

BACKGROUND AND IMPORTANCE: Camptocormia is characterized by abnormal flexion of the thoracolumbar spine that increases during upright posture and abates in the recumbent position and has been reported to occur in patients with Parkinson disease. Camptocormia causes significant spinal and abdominal pain, impairment of balance, and social stigma. CLINICAL PRESENTATION: A 57-year-old woman with Parkinson disease developed severe camptocormia, which did not improve with trials of antiparkinsonian and muscle relaxant medications. The patient was successfully treated with bilateral globus pallidus interna deep brain stimulation surgery under general anesthesia. High-frequency neuromodulation afforded relief of camptocormia and improvement in Parkinson disease symptoms. CONCLUSION: Camptocormia in Parkinson disease may represent a form of dystonia and can be treated effectively with chronic pallidal neuromodulation.

Original languageEnglish
Pages (from-to)E1501-E1505
JournalNeurosurgery
Volume68
Issue number5
DOIs
Publication statusPublished - 1 May 2011

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