Case report

CAMPTOCORMIA AND MYOTONIC DYSTROPHY TYPE 2

DENIS ČERIMAGIĆ orcid.org/0000-0003-0743-2618 ; Dubrovnik General Hospital, Department of Neurology, Dubrovnik, Croatia
ERVINA BILIĆ ; University of Zagreb, School of Medicine, Department of Neurology, Zagreb University Hospital Centre, Zagreb, Croatia
VANJA BAŠIĆ KES ; Sestre milosrdnice University Hospital Centre, Department of Neurology, Zagreb, Croatia

Abstract

We present a rare case of secondary camptocormia in a patient with myotonic dystrophy type 2. The diagnosis of camptocormia is based on clinical observation of abnormal torso antefl exion (>45°) in standing position, which worsens with walking and decreases in supine position. The diagnosis of myotonic dystrophy type 2 is based on the clinical picture of proximal myopathy, typical electromyographic findings, and neuroradiological examination of the spine (MSCT/MR), and is confirmed by DNA analysis. There are a number of causes of secondary camptocormia, and myotonic dystrophy type 2 is one of the rarer ones. Hypotrophy/atrophy of the paravertebral musculature, where the muscle tissue is replaced with fat tissue, verifi ed by neuroimaging methods, indicates the need for additional processing to exclude various muscle diseases and disorders. This case clearly shows that in the background of chronic, painful, vertebrogenic syndromes, much more complex and rare diseases sometimes exist.

Keywords

camptocormia; myotonic dystrophy; electromyography

Hrčak ID:

261274

URI

https://hrcak.srce.hr/261274

Publication date:

10.8.2021.

Article data in other languages: croatian

Visits: 3.186 *