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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2012
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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. |
format | Online Article Text |
id | pubmed-3475321 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
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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