一种不寻常的弯腰驼背病因。
An Unusual Cause of Camptocormia.
作者信息
Mehta Sahil, Kumar Rajender, Lal Vivek
机构信息
Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh, IN.
Department of Nuclear Medicine and PET/CT, Post Graduate Institute of Medical Education and Research, Chandigarh, IN.
出版信息
Tremor Other Hyperkinet Mov (N Y). 2019 Feb 13;9:608. doi: 10.7916/D8Q82X3K. eCollection 2019.
BACKGROUND
Camptocormia is defined as forward flexion of the spine that manifests during walking and standing and disappears in recumbent position. The various etiologies include idiopathic Parkinson's disease, multiple system atrophy, myopathies, degenerative joint disease, and drugs.
CASE REPORT
A 67-year-old diabetic female presented with bradykinesia and camptocormia that started 1 year prior to presentation. Evaluation revealed levosulpiride, a dopamine receptor blocker commonly used for dyspepsia, to be the culprit.
DISCUSSION
It is well known that dopamine receptor blockers cause parkinsonism and tardive syndromes. We report a rare and unusual presentation of camptocormia attributed to this commonly used gastrointestinal drug in the Asian population.
背景
camptocormia定义为脊柱向前屈曲，在行走和站立时出现，卧位时消失。其病因多样，包括特发性帕金森病、多系统萎缩、肌病、退行性关节病及药物等。
病例报告
一名67岁糖尿病女性患者，出现运动迟缓及camptocormia，症状于就诊前1年开始出现。评估发现，常用于治疗消化不良的多巴胺受体阻滞剂左舒必利是病因。
讨论
众所周知，多巴胺受体阻滞剂可导致帕金森综合征和迟发性综合征。我们报告了在亚洲人群中，这种常用的胃肠道药物导致camptocormia的罕见且不寻常表现。
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