Arquivos de neuro-psiquiatria · 2005
Status Dystonicus: study of five cases.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Teive Hélio A G, Munhoz Renato P, Souza Mônica M, Antoniuk Sérgio A, Santos Mara Lucia S F, Teixeira Manoel Jacobsen, Barbosa Egberto Reis, Carvalho Rodrigo C, Scaff Milberto, Werneck Lineu César
Аннотация
Status Dystonicus (SD) is characterized by generalized muscle contractions in dystonic patients. We report 5 cases of SD, two of which in patients with dystonic cerebral palsy, one in a patient with primary segmental dystonia, one in a patient with Hallervorden-Spatz syndrome and one in a patient with Wilson's disease (WD). Three patients were admitted to an intensive care unit and treated with propofol and midazolam, and two were submitted to neurosurgical procedures (bilateral pallidotomy and bilateral pallidal deep brain stimulation). Triggering factors were identified in three patients as follows: infection, stress-induced and zinc therapy for WD. On follow-up, two patients presented with significant improvement of dystonia, whereas the other three cases the clinical picture ultimately returned to baseline pre-SD condition.