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Status dystonicus in children: Treat the precipitating factors

Authors :
Priyanka Madaan
Singanamalla Bhanudeep
Lokesh Saini
Source :
Karnataka Pediatric Journal. 36:54-56
Publication Year :
2021
Publisher :
Scientific Scholar, 2021.

Abstract

Status dystonicus (SD) is a life-threatening movement disorder associated with significant morbidity and requires immediate and urgent intervention. It usually develops from both primary and secondary dystonias and rarely can be a complication of symptomatic insults such as infections, brain insults, or drugs. Compared to adults, it is seen more commonly in children due to the risk of many trigger factors and vulnerability of the developmental brain. Due to the delay in the identification and prevention of the triggering factors, nowadays most children require intensive care. Here, we report a 1-year-old boy, who was a known case of dyskinetic cerebral palsy, presented with increased twisting movements after an episode of febrile illness. The SD partially resolved after midazolam infusion, however, after treating the triggering factors (constipation and pneumonia), the SD resolved completely.

Details

ISSN :
09755152
Volume :
36
Database :
OpenAIRE
Journal :
Karnataka Pediatric Journal
Accession number :
edsair.doi...........27de213f65429cf60ada6e4c202e9955