Síndrome de disfunción autonómica secundario a meningitis tuberculosa

Antón, J Gil; Bayón, J López; Fernández, Y. López; Orive, J Pilar

doi:10.1157/13068041

Cited by 3 publications

(4 citation statements)

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“…Ramdhani et al reported a case of PAID secondary to tuberculous meningitis in a 69 year-old patient which was associated with infiltra-tion of the thalamus, hypothalamus and brain parenchyma [9]. Autonomic instability has been described in a two year-old girl with meningeal tuberculosis along with hydrocephalus and bilateral hemorrhagic infarctions in basal ganglia [8], but the dystonia was not a feature of this case. Our patient with tuberculosis meningo-encephalitis had PAID similar to that reported in the adults: to our knoweledge this is the first such report in a child.…”

Section: Discussionmentioning

confidence: 67%

“…PAID is reported to occur in 15 to 33% of traumatic brain hemorrhage patients [7]. However, cerebral infections such as tuberculosis meningitis are extremely rare causes of PAID [8]. Ramdhani et al reported a case of PAID secondary to tuberculous meningitis in a 69 year-old patient which was associated with infiltra-tion of the thalamus, hypothalamus and brain parenchyma [9].…”

Section: Discussionmentioning

confidence: 99%

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Paroxysmal Autonomic Instability and Dystonia (PAID) in a child with tuberculosis meningo-encephalitis: A case report

Sarkar

Nandi

Mondal

2015

J Pediatr Infect Dis

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Paroxysmal autonomic instability with dystonia (PAID) is a relatively new term for a clinical condition that is characteristically associated with severe traumatic brain injury. PAID has rarely been described in association with central nervous system infections. We report its occurrence in a 3 year old child with tuberculosis meningo-encephalitis. Although PAID has been reported in association with tuberculosis meningo-encephalitis in adults, to our knowledge this is the first such report in a child.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Paroxysmal Autonomic Instability and Dystonia (PAID) in a child with tuberculosis meningo-encephalitis: A case report

Sarkar

Nandi

Mondal

2015

J Pediatr Infect Dis

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“…This can be attributed to altered autonomic activity and recently a new term has been put forth that seeks to more precisely characterize this condition: paroxysmal autonomic instability with dystonia (PAID) [1]. While PAID is predominantly associated with TBI, infection is seldom considered to be a cause of PAID [2]. …”

Section: Discussionmentioning

confidence: 99%

“…Autonomic instability has only been described once in a two-year-old girl with tuberculous meningitis [2]. However, this girl also had hydrocephalus and bilateral hemorrhagic infarctions in her basal ganglia.…”

Section: Discussionmentioning

confidence: 99%

Paroxysmal autonomic instability with dystonia in a patient with tuberculous meningitis: a case report

Ramdhani¹,

Sikma

Witkamp

et al. 2010

J Med Case Reports

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IntroductionThis case report describes an extremely rare combination of paroxysmal autonomic instability with dystonia and tuberculous meningitis. Paroxysmal autonomic instability with dystonia is normally associated with severe traumatic brain injury.Case presentationA 69-year-old man of Indonesian descent was initially suspected of having a community-acquired pneumonia, which was seen on chest X-ray and computed tomography of the chest. However, a bronchoscopy showed no abnormalities. He was treated with amoxicillin-clavulanic acid in combination with ciprofloxacin. However, nine days after admission he was disorientated and complained of headache. Neurological examination revealed no further abnormalities. A lumbar puncture revealed no evidence of meningitis. He was then transferred to our hospital. At that time, initial cultures of bronchial fluid for Mycobacterium tuberculosis turned positive, as well as polymerase chain reaction for Mycobacterium tuberculosis. Later, during his stay in our intensive care unit, he developed periods with hypertension, sinus tachycardia, excessive transpiration, decreased oxygen saturation with tachypnea, pink foamy sputum, and high fever. This constellation of symptoms was accompanied by dystonia in the first days. These episodes lasted approximately 30 minutes and improved after administration of morphine, benzodiazepines or clonidine. Magnetic resonance imaging showed an abnormal signal in the region of the hippocampus, thalamus and the anterior parts of the lentiform nucleus and caudate nucleus.ConclusionsIn patients with (tuberculous) meningitis and episodes of extreme hypertension and fever, paroxysmal autonomic instability with dystonia should be considered.

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Paroxysmal Autonomic Instability with Dystonia after Pneumococcal Meningoencephalitis

Safadieh

Sharara‐Chami

Dabbagh

2012

Case Reports in Medicine

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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.

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Síndrome de disfunción autonómica secundario a meningitis tuberculosa

Cited by 3 publications

References 0 publications

Paroxysmal Autonomic Instability and Dystonia (PAID) in a child with tuberculosis meningo-encephalitis: A case report

Paroxysmal Autonomic Instability and Dystonia (PAID) in a child with tuberculosis meningo-encephalitis: A case report

Paroxysmal autonomic instability with dystonia in a patient with tuberculous meningitis: a case report

Paroxysmal Autonomic Instability with Dystonia after Pneumococcal Meningoencephalitis

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