Department of Neurology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.
J Clin Neurosci. 2012 Apr;19(4):624-7. doi: 10.1016/j.jocn.2011.06.026. Epub 2012 Jan 30.
We hypothesized that the unusual and painful abdominal contractions in two of our patients with Parkinson disease (PD) were linked to abdominal muscle hypertrophy. The abdominal pain was aggravated by sitting, standing, or walking, and was characterized by a powerful pulling sensation associated with palpable contractions of the rectus abdominis. When the pain decreased, the camptocormia abated. The thickness of the rectus abdominis and the relative muscle thickness ratio were greater in the two patients with abdominal contractions than in the control patients with PD without abdominal contractions. Palpable painful abdominal contractions could be associated with the presence of hypertrophy of the rectus abdominis visible on CT scan. The abdominal muscle contractions probably contribute to the development a stooped posture.
我们假设，我们的两位帕金森病（PD）患者出现的异常且疼痛的腹部收缩与腹肌肥大有关。这些患者的腹痛会因坐、站或行走而加重，其特征是存在强烈的牵拉感，并伴有可触及的腹直肌收缩。当疼痛减轻时，脊柱前凸也会缓解。与无腹痛的 PD 对照组患者相比，出现腹部收缩的两位患者的腹直肌厚度和相对肌肉厚度比更大。可触及的疼痛性腹部收缩可能与 CT 扫描可见的腹直肌肥大有关。腹部肌肉收缩可能导致弯腰姿势的发展。
