R. P. Goddeau Jr., S. B. Silverman and J. R. Sims. Dexmedetomidine for the treatment of paroxysmal autonomic instability with dystonia. Neurocritical Care, 2007, 7(3): 217-220.
病毒性脑炎所致阵发性自主神经性不稳伴肌张力不全1例Paroxysmal Autonomic Instability with Dystonia Induced by Viral Encephalitis: A Case Report
易招师, 查剑, 钟建民, 吴华平, 虞雄鹰, 陈勇
病毒性脑炎, 自主神经功能不稳, 肌张力不全Viral Encephalitis; Autonomic Instability; Dystonia
《Asian Case Reports in Pediatrics》, Vol.1 No.3, 2013-08-01
Objective: To explore the clinical features and therapeutic strategy of Paroxysmal autonomic instability with dystonia (PAID) induced by viral encephalitis. Methods:The clinical data of one child with PAID induced by viral encephalitis diagnosed in our hospital was analyzed retrospectively. Results: The child presented with intermittent agitation, fever,diaphoresis, tachycardia,tachypnea, hypertension, extensor posturing and seizures.Through the treatment of combined drugs, the child was gradually improved and discharged.After a follow-up of one and a half years, themuscular tension of limbs returned to normal and there were not serious neurologic sequelae. Conclusion: The PAID induced by viral encephalitis is rare. Early recognition is of paramount importance to start treatment in an early stage and various drugs should be combined to alleviate PAID.