Status Dystonicus: study of five cases.

Abstract:

: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.

journal_name

Arq Neuropsiquiatr

authors

Teive HA,Munhoz RP,Souza MM,Antoniuk SA,Santos ML,Teixeira MJ,Barbosa ER,Carvalho RC,Scaff M,Werneck LC

doi

10.1590/s0004-282x2005000100005

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

26-9

issue

1

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2005000100005

journal_volume

63

pub_type

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