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Hypermetabolic Syndrome and Dyskinesia After Neurologic Surgery for Labrune Syndrome: A Case Report
- Source :
- A&A Practice. 14:e01212
- Publication Year :
- 2020
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2020.
-
Abstract
- A 20-year-old man with a rare neurodegenerative disease developed hypermetabolic symptoms with dyskinesia after a third ventriculostomy for hydrocephalus. The initial presentation was concerning for an acute dystonic reaction after metoclopramide was administered for nausea. He concurrently developed hypermetabolic symptoms, including hyperthermia, tachycardia, and a lactic acidosis. The diagnosis was broadened to include neuroleptic malignant syndrome, serotonin syndrome, and malignant hyperthermia. Although perhaps less intellectually satisfying but more true to clinical reality, we did not isolate a single diagnosis but treated effectively all 3 with dantrolene sodium and benzodiazepine.
- Subjects :
- Adult
Male
Metoclopramide
Nausea
Serotonin syndrome
Ventriculostomy
Young Adult
Leukoencephalopathies
medicine
Humans
Postoperative Period
Central Nervous System Cysts
Dyskinesias
business.industry
Malignant hyperthermia
Calcinosis
Neurodegenerative Diseases
Syndrome
General Medicine
Exanthema
medicine.disease
Hydrocephalus
Neuroleptic malignant syndrome
Dopamine D2 Receptor Antagonists
Dyskinesia
Anesthesia
Lactic acidosis
Antiemetics
Acidosis, Lactic
medicine.symptom
Malignant Hyperthermia
business
medicine.drug
Subjects
Details
- ISSN :
- 25753126
- Volume :
- 14
- Database :
- OpenAIRE
- Journal :
- A&A Practice
- Accession number :
- edsair.doi.dedup.....a768ad8829cc46e9eb64fd08bfd65480
- Full Text :
- https://doi.org/10.1213/xaa.0000000000001212