Recenzija, Prikaz slučaja
CAMPTOCORMIA AND MYOTONIC DYSTROPHY TYPE 2
DENIS ČERIMAGIĆ
orcid.org/0000-0003-0743-2618
; Opća bolnica Dubrovnik, Odjel za neurologiju, Dubrovnik, Hrvatska
ERVINA BILIĆ
; Klinika za neurologiju Medicinskog fakulteta Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
VANJA BAŠIĆ KES
; Klinički bolnički centar Sestre milosrdnice, Klinika za neurologiju, Zagreb, Hrvatska
Sažetak
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.
Ključne riječi
camptocormia; myotonic dystrophy; electromyography
Hrčak ID:
261274
URI
Datum izdavanja:
10.8.2021.
Posjeta: 2.031 *