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− | + | *Abnormal postures of the trunk are a typical feature of Parkinson's disease (PD). | |
+ | *These include Pisa syndrome (PS), a tonic lateral flexion of the trunk associated with slight rotation along the sagittal plane. | ||
+ | *PD patients with PS showed a significantly higher score of disease asymmetry compared with the control group. | ||
+ | *In the majority of patients with PS, trunk bending was contralateral to the side of symptom onset. | ||
+ | *EMG showed abnormal tonic hyperactivity on the side of the deviation in the paravertebral thoracic muscles and in the abdominal oblique muscles. | ||
+ | *CT of the lumbar paraspinal muscles showed muscular atrophy more marked on the side of the deviation, with a craniocaudal gradient. | ||
+ | *PS may represent a complication of advanced PD in a subgroup of patients who show more marked asymmetry of disease and who have detectable hyperactivity of the dorsal paravertebral muscles on the less affected side. | ||
+ | *This postural abnormality deserves attention and proper early treatment to prevent comorbidities and pain. | ||
+ | |||
+ | ==Røntgen== | ||
+ | [[Fil:Pisa.jpg]] | ||
+ | |||
+ | [[Kategori:Komplikationer]] |
Nuværende version fra 26. apr 2012, 11:19
- Abnormal postures of the trunk are a typical feature of Parkinson's disease (PD).
- These include Pisa syndrome (PS), a tonic lateral flexion of the trunk associated with slight rotation along the sagittal plane.
- PD patients with PS showed a significantly higher score of disease asymmetry compared with the control group.
- In the majority of patients with PS, trunk bending was contralateral to the side of symptom onset.
- EMG showed abnormal tonic hyperactivity on the side of the deviation in the paravertebral thoracic muscles and in the abdominal oblique muscles.
- CT of the lumbar paraspinal muscles showed muscular atrophy more marked on the side of the deviation, with a craniocaudal gradient.
- PS may represent a complication of advanced PD in a subgroup of patients who show more marked asymmetry of disease and who have detectable hyperactivity of the dorsal paravertebral muscles on the less affected side.
- This postural abnormality deserves attention and proper early treatment to prevent comorbidities and pain.