{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T02:07:16Z","timestamp":1769911636586,"version":"3.49.0"},"reference-count":27,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:p>Camptocormia is a rare, involuntary movement disorder, presenting as truncal flexion while standing or walking, and is mainly observed as a feature of Parkinson\u2019s disease (PD) and primary dystonia. Deep brain stimulation (DBS) of the globus pallidus internus is effective for refractory camptocormia observed with PD or dystonia. However, the effectiveness of pallidotomy for camptocormia has not been investigated. The authors report the case of a 38-year-old man with anterior truncal bending that developed when he was 36 years old. Prior to the onset of the symptom, he had been taking antipsychotic drugs for schizophrenia. There were no features of PD; the symptom severely interfered with his walking and daily life. He was given anticholinergics, clonazepam, and botulinum toxin injections, which did not result in much success. Because of the patient\u2019s unwillingness to undergo implantation of a hardware device, he underwent staged bilateral pallidotomy with complete resolution for a diagnosis of tardive dystonic camptocormia. The Burke-Fahn-Marsden dystonia rating scale subscore for the trunk before and after bilateral pallidotomy was 3 and 0, respectively. No perioperative adverse events were observed. Effects have persisted for 18 months. Bilateral pallidotomy can be a treatment option for medically refractory dystonic camptocormia without the need for device implantation.<\/jats:p>","DOI":"10.3171\/2018.5.jns1840","type":"journal-article","created":{"date-parts":[[2018,11,15]],"date-time":"2018-11-15T22:52:02Z","timestamp":1542322322000},"page":"839-842","source":"Crossref","is-referenced-by-count":5,"title":["Staged bilateral pallidotomy for dystonic camptocormia: case report"],"prefix":"10.3171","volume":"131","author":[{"given":"Shiro","family":"Horisawa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Tokyo Women\u2019s Medical University, Shinjuku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mieko","family":"Oka","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Tokyo Women\u2019s Medical University, Shinjuku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kotaro","family":"Kohara","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Tokyo Women\u2019s Medical University, Shinjuku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takakazu","family":"Kawamata","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Tokyo Women\u2019s Medical University, Shinjuku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takaomi","family":"Taira","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurological Institute, Tokyo Women\u2019s Medical University, Shinjuku, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"The Practice of Electroconvulsive Therapy: Recommendations for Treatment, Training, and Privileging","author":"American Psychiatric Association","year":"2001","unstructured":"American Psychiatric Association: The Practice of Electroconvulsive Therapy: Recommendations for Treatment, Training, and Privileging. 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