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A case of levodopa-responsive camptocormia associated with advanced Parkinson's disease

Nature Clinical Practice Neurology volume 3, pages 526–530 (2007)Cite this article

Abstract

Background A 48-year-old man with a 9-year history of Parkinson's disease who had previously shown a good response to levodopa presented for evaluation of increasingly disabling motor fluctuations and marked camptocormia.

Investigations Video-recorded neurological examinations when in 'off' and 'on' states, brain MRI scan.

Diagnosis Advanced Parkinson's disease complicated by levodopa-responsive camptocormia.

Management Adjustment of dopaminergic therapy (carbidopa–levodopa and entacapone) to minimize motor fluctuations and camptocormia.

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Figure 1: Camptocormia in Parkinson's disease

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Acknowledgements

The patient is thanked for allowing publication of the photographs and supplementary online material, for which the patient's written consent was obtained.

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Authors and Affiliations

  1. Department of Neurology, B Ho is a Fellow, R Prakash is a Clinical Research Coordinator, JC Morgan is an Assistant Professor, and KD Sethi is a Professor of Neurology and Director of the Movement Disorders Program, all of the Movement Disorders Program, Medical College of Georgia, Augusta, GA, USA.,

    Bryan Ho, Rajan Prakash, John C Morgan & Kapil D Sethi

Authors
  1. Bryan Ho
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  2. Rajan Prakash
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  3. John C Morgan
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  4. Kapil D Sethi
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Corresponding author

Correspondence to Kapil D Sethi.

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Competing interests

B Ho and R Prakash declared no competing interests.

KD Sethi has received speaker's or consultancy fees from Boehringer Ingelheim, GlaxoSmithKline, Novartis, Schwarz Pharma and Valeant, and has received research support from Boehringer Ingelheim, GlaxoSmithKline, Novartis, Solvay, and Eisai.

JC Morgan has received speaker's or consultancy fees and research support from: Boehringer Ingelheim, GlaxoSmithKline and Novartis, and has received consultancy fees from Vernalis.

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Ho, B., Prakash, R., Morgan, J. et al. A case of levodopa-responsive camptocormia associated with advanced Parkinson's disease. Nat Rev Neurol 3, 526–530 (2007). https://doi.org/10.1038/ncpneuro0584

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