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Paroxysmal Autonomic Instability with Dystonia after Pneumococcal Meningoencephalitis

Streptococcus pneumoniae is a common cause of bacterial meningitis, frequently resulting in severe neurological impairment. A seven-month-old child presenting with Streptococcus pneumoniae meningoencephalitis developed right basal ganglia and hypothalamic infarctions. Daily episodes of agitation, hy...

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Detalles Bibliográficos
Autores principales: Safadieh, Layal, Sharara-Chami, Rana, Dabbagh, Omar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475321/
https://www.ncbi.nlm.nih.gov/pubmed/23093976
http://dx.doi.org/10.1155/2012/965932
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author Safadieh, Layal
Sharara-Chami, Rana
Dabbagh, Omar
author_facet Safadieh, Layal
Sharara-Chami, Rana
Dabbagh, Omar
author_sort Safadieh, Layal
collection PubMed
description Streptococcus pneumoniae is a common cause of bacterial meningitis, frequently resulting in severe neurological impairment. A seven-month-old child presenting with Streptococcus pneumoniae meningoencephalitis developed right basal ganglia and hypothalamic infarctions. Daily episodes of agitation, hypertension, tachycardia, diaphoresis, hyperthermia, and decerebrate posturing were observed. The diagnosis of paroxysmal autonomic instability with dystonia was established. The patient responded to clonidine, baclofen, and benzodiazepines. Although this entity has been reported in association with traumatic brain injury, and as a sequel to some nervous system infections, this is the first case, to our knowledge, associated with pneumococcal meningoencephalitis.
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spelling pubmed-34753212012-10-23 Paroxysmal Autonomic Instability with Dystonia after Pneumococcal Meningoencephalitis Safadieh, Layal Sharara-Chami, Rana Dabbagh, Omar Case Rep Med Case Report Streptococcus pneumoniae is a common cause of bacterial meningitis, frequently resulting in severe neurological impairment. A seven-month-old child presenting with Streptococcus pneumoniae meningoencephalitis developed right basal ganglia and hypothalamic infarctions. Daily episodes of agitation, hypertension, tachycardia, diaphoresis, hyperthermia, and decerebrate posturing were observed. The diagnosis of paroxysmal autonomic instability with dystonia was established. The patient responded to clonidine, baclofen, and benzodiazepines. Although this entity has been reported in association with traumatic brain injury, and as a sequel to some nervous system infections, this is the first case, to our knowledge, associated with pneumococcal meningoencephalitis. Hindawi Publishing Corporation 2012 2012-10-11 /pmc/articles/PMC3475321/ /pubmed/23093976 http://dx.doi.org/10.1155/2012/965932 Text en Copyright © 2012 Layal Safadieh et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Safadieh, Layal
Sharara-Chami, Rana
Dabbagh, Omar
Paroxysmal Autonomic Instability with Dystonia after Pneumococcal Meningoencephalitis
title Paroxysmal Autonomic Instability with Dystonia after Pneumococcal Meningoencephalitis
title_full Paroxysmal Autonomic Instability with Dystonia after Pneumococcal Meningoencephalitis
title_fullStr Paroxysmal Autonomic Instability with Dystonia after Pneumococcal Meningoencephalitis
title_full_unstemmed Paroxysmal Autonomic Instability with Dystonia after Pneumococcal Meningoencephalitis
title_short Paroxysmal Autonomic Instability with Dystonia after Pneumococcal Meningoencephalitis
title_sort paroxysmal autonomic instability with dystonia after pneumococcal meningoencephalitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475321/
https://www.ncbi.nlm.nih.gov/pubmed/23093976
http://dx.doi.org/10.1155/2012/965932
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