title: High-frequency pallidal stimulation for camptocormia in Parkinson disease: case report.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Camptocormia in Parkinson disease may represent a form of dystonia and can be treated effectively with chronic pallidal neuromodulation.
authors.affiliation: West Australian Neurosurgical Service, Sir Charles Gairdner Hospital, Perth, Australia.
authors.forename: Nova B
authors.initials: NB
authors.lastname: Thani
authors.forename: Arul
authors.initials: A
authors.lastname: Bala
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Kimber
authors.forename: Christopher R P
authors.initials: CR
authors.lastname: Lind
mesh_terms: D046690:Deep Brain Stimulation / Q000379:methods*; D005260:Female; D005917:Globus Pallidus / Q000502:physiology; D006801:Humans; D008875:Middle Aged; D009134:Muscular Atrophy, Spinal / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D010300:Parkinson Disease / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D013121:Spinal Curvatures / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*