Reversible Camptocormia Secondary to Deep Infiltrating Endometriosis: A Treatable Non-Neurological Cause

Juhun Lee, Pan-Woo Ko
Movement disorders clinical practice · 2026 · doi:10.1002/mdc3.70878 · PMID:42900624 · PMC13682641 · W7223021083
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This case report describes a patient with reversible camptocormia caused by deep infiltrating endometriosis, identifying the condition as a treatable non-neurological etiology for this postural deformity.

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This clinical vignette describes a case of reversible camptocormia, an antalgic posture characterized by severe forward bending of the trunk, which was found to be secondary to deep infiltrating endometriosis rather than a primary neurological disorder. The patient’s condition resolved following treatment for the underlying pelvic disease, highlighting that endometriosis can manifest with functional movement symptoms through pain mechanisms rather than direct nerve compression or central nervous system pathology. The report emphasizes the importance of considering gynecological causes in patients presenting with unexplained postural abnormalities to avoid misdiagnosis as idiopathic or Parkinsonian camptocormia. This paper is centrally about endometriosis — specifically its rare presentation as a cause of secondary, reversible camptocormia due to deep infiltrating lesions.

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Abstract

Ethical Compliance Statement: This single-patient clinical vignette was prepared in accordance with institutional requirements of Kyungpook National University Hospital, for which formal institutional review board approval was not required. Written informed consent for publication of clinical information, photographs, and video material was obtained from the patient. We confirm that we have read the Journal's position on issues involved in ethical publication and affirm that this work is consistent with those guidelines. Financial Disclosures and Conflicts of Interest: The authors report no conflicts of interest relevant to this work. Author disclosures are available in the Supporting Information. The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions. Data S1. ICMJE Disclosure Statement Form. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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Keywords

antalgic posture; camptocormia; endometriosis; functional movement disorder; secondary camptocormia. PubMed Disclaimer Conflict of interest statement Ethical Compliance Statement: This single‐patient clinical vignette was prepared in accordance with institutional requirements of Kyungpook National University Hospital, for which formal institutional review board approval was not required. Written informed consent for publication of clinical information, photographs, and video material was obtained from the patient. We confirm that we have read the Journal's position on issues involved in ethical publication and affirm that this work is consistent with those guidelines. Financial Disclosures and Conflicts of Interest: The authors report no conflicts of interest relevant to this work. Author disclosures are available in the Supporting Information.

References

- - Srivanitchapoom P, Hallett M. Camptocormia in Parkinson's disease: definition, epidemiology, pathogenesis and treatment modalities. J Neurol Neurosurg Psychiatry 2016;87(1):75–85. 10.1136/jnnp-2014-310049. - DOI - PMC - PubMed - - Azher SN, Jankovic J. Camptocormia: pathogenesis, classification, and response to therapy. Neurology 2005;65(3):355–359. 10.1212/01.wnl.0000171857.09079.9f. - DOI - PubMed - - Silva de Barros A, Mesquita Magalhães G, Darc de Menezes Braga L, et al. Musculoskeletal evaluation of the lower pelvic complex in women with endometriosis: a case‐control study. Eur J Obstet Gynecol Reprod Biol 2024;299:317–321. 10.1016/j.ejogrb.2024.04.030. - DOI - PubMed - - Fan P, Li T. Unveil the pain of endometriosis: from the perspective of the nervous system. Expert Rev Mol Med 2022;24:e36. 10.1017/erm.2022.26. - DOI - PubMed - - Quintas‐Marquès L, Martínez‐Zamora MÁ, Camacho M, et al. Central sensitization in patients with deep endometriosis. Pain Med 2023;24(8):1005–1007. 10.1093/pm/pnad002. - DOI - PubMed

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