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Camptocormia associated with focal myositis in multiple-system atrophy.
[focal myositis]
Camptocormia
(
CC
)
or
pronounced
forward
flexion
of
the
trunk
is
a
common
symptom
of
Parkinson
's
disease
.
We
describe
2
patients
with
probable
,
respectively
possible
multiple
-system
atrophy
and
CC
.
Magnetic
resonance
imaging
of
the
erector
trunci
showed
focal
patchy
hyperintensities
with
gadolinium
enhancement
and
muscle
biopsy
was
indicative
of
variably
pronounced
focal
myositis
.
CC
was
progressive
and
the
major
handicap
for
both
patients
after
1
and
1
.
5
years
of
follow-up
,
respectively
.
The
therapeutic
response
was
poor
.
Similarities
with
the
dropped-
head
syndrome
suggest
that
the
muscle
pathology
may
be
either
the
primary
cause
of
CC
,
a
focal
reaction
to
the
CC
posture
,
or
a
coincident
syndrome
of
old
age
.
Diseases
Validation
Diseases presenting
"focal reaction"
symptom
focal myositis
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