Article Text

other Versions

PDF
Letter
Myasthenia gravis can cause camptocormia
  1. Hiroshi Kataoka,
  2. Takao Kiriyama,
  3. Satoshi Ueno
  1. Department of Neurology, Nara Medical University, Kashihara, Nara, Japan
  1. Correspondence to Dr Kataoka, Department of Neurology, Nara Medical University 840 Shijo-cho, Kashihara, Nara 634-8522, Japan; hk55{at}naramed-u.ac.jp

Statistics from Altmetric.com

Introduction

Camptocormia is characterised by an abnormal posture of the trunk with marked flexion of the thoracolumbar spine. The spinal curvature resolves when the affected individual lies in the supine position. Camptocormia can be associated with metabolic, spinal, neuromuscular, psychiatric, neurogenic and movement disorders.1 We describe an unusual patient with myasthenia gravis (MG) who had camptocormia that responded to edrophonium.

Case report

In February 2009, a 75-year-old woman with a history of hypertension and angina noticed lower extremity weakness, numbness below the trunk and forward flexion of the lumbar spine. In April, she underwent surgery to treat ossified thoracic yellow ligaments, and the numbness resolved. However, weakness and forward flexion of the lumbar spine gradually worsened, and in August she required a cane to walk. In October, she presented with dropped head. The severity of forward …

View Full Text

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.