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...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/965932 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850213259652628480 |
|---|---|
| author | Layal Safadieh Rana Sharara-Chami Omar Dabbagh |
| author_facet | Layal Safadieh Rana Sharara-Chami Omar Dabbagh |
| author_sort | Layal Safadieh |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-88fb4838acce408aa4d16bef09abe4c5 |
| institution | OA Journals |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-88fb4838acce408aa4d16bef09abe4c52025-08-20T02:09:11ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/965932965932Paroxysmal Autonomic Instability with Dystonia after Pneumococcal MeningoencephalitisLayal Safadieh0Rana Sharara-Chami1Omar Dabbagh2Division of Neurology, Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh, Beirut 1107 2020, LebanonDivision of Critical Care Medicine, Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut 1107 2020, LebanonDivision of Neurology, Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, P.O. Box 11-0236, Riad El Solh, Beirut 1107 2020, LebanonStreptococcus 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.http://dx.doi.org/10.1155/2012/965932 |
| spellingShingle | Layal Safadieh Rana Sharara-Chami Omar Dabbagh Paroxysmal Autonomic Instability with Dystonia after Pneumococcal Meningoencephalitis Case Reports in Medicine |
| 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 |
| url | http://dx.doi.org/10.1155/2012/965932 |
| work_keys_str_mv | AT layalsafadieh paroxysmalautonomicinstabilitywithdystoniaafterpneumococcalmeningoencephalitis AT ranashararachami paroxysmalautonomicinstabilitywithdystoniaafterpneumococcalmeningoencephalitis AT omardabbagh paroxysmalautonomicinstabilitywithdystoniaafterpneumococcalmeningoencephalitis |