지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 308 - 312 (5page)
이용수
초록· 키워드
오류제보하기
Paroxysmal autonomic instability with dystonia (PAID) is a rare complication of brain injury. Symptoms of PAID include diaphoresis, hyperthermia, hypertension, tachycardia, and tachypnea accompanied by hypertonic movement. Herein, we present the case of a 44-year-old female patient, who was diagnosed with paraneoplastic limbic encephalopathy caused by thyroid papillary cancer. The patient exhibited all the symptoms of PAID. On the basis that the symptoms were unresponsive to antispastic medication and her liver function test was elevated, we performed alcohol neurolysis of the musculocutaneous nerve followed by botulinum toxin type A (BNT-A) injection into the biceps brachii and brachialis. Unstable vital signs and hypertonia were relieved after chemodenervation. Accordingly, alcohol neurolysis and BNT-A injection are proposed as a treatment option for intractable PAID.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Blackman JA / 2004 / Paroxysmal autonomic instability with dystonia after brain injury / Arch Neurol 61 : 321 ~ 328
Boeve BF / 1998 / Paroxysmal sympathetic storms (“diencephalic seizures”)after severe diffuse axonal head injury / Mayo Clin Proc 73 : 148 ~ 152
Comella CL / 2003 / Dystonia Study Group. Rating scales for dystonia: a multicenter assessment / Mov Disord 18 : 303 ~ 312
Cuny E / 2001 / Dysautonomia syndrome in the acute recovery phase after traumatic brain injury:relief with intrathecal Baclofen therapy / Brain Inj 15 : 917 ~ 925
Goddeau RP Jr / 2007 / Dexmedetomidine for the treatment of paroxysmal autonomic instability with dystonia / Neurocrit Care 7 : 217 ~ 220
Boeve BF / 1998 / Paroxysmal sympathetic storms (“diencephalic seizures”)after severe diffuse axonal head injury / Mayo Clin Proc 73 : 148 ~ 152
Comella CL / 2003 / Dystonia Study Group. Rating scales for dystonia: a multicenter assessment / Mov Disord 18 : 303 ~ 312
Cuny E / 2001 / Dysautonomia syndrome in the acute recovery phase after traumatic brain injury:relief with intrathecal Baclofen therapy / Brain Inj 15 : 917 ~ 925
Goddeau RP Jr / 2007 / Dexmedetomidine for the treatment of paroxysmal autonomic instability with dystonia / Neurocrit Care 7 : 217 ~ 220
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