张力障碍状态：诊断延误。
Status dystonicus: a diagnosis delayed.
作者信息
Arshad Muhammad Fahad, Ahmad Ehtasham, Biddanda Aiyappa Nanjappa, Sharif Muhammad
机构信息
Diabetes and Endocrine Department, Doncaster Royal Infirmary, Doncaster, UK.
Diabetes and Endocrine Department, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
出版信息
BMJ Case Rep. 2018 Sep 12;2018:bcr-2018-226531. doi: 10.1136/bcr-2018-226531.
Status dystonicus, also known as the dystonic storm or dystonic crisis, is rare but may prove fatal due to respiratory and bulbar complications. In adults, the condition is rare and possibly under-reported. The lack of awareness of this condition among emergency and acute physicians may lead to an incorrect or delayed diagnosis, which should be avoided. We report a case of a 23-year-old man with athetoid cerebral palsy who presented to a district general hospital with uncontrolled dystonic movements, which were diagnosed as status dystonicus. This was successfully treated with intravenous clonidine, with full recovery returning to baseline functional state.
张力障碍危象，也称为张力障碍风暴或张力障碍危机，虽罕见但因呼吸和延髓并发症可能致命。在成人中，这种情况罕见且可能报告不足。急诊和急症科医生对这种疾病认识不足可能导致诊断错误或延迟，应避免这种情况。我们报告一例23岁患有手足徐动型脑瘫的男性患者，他因无法控制的张力障碍性运动就诊于一家区综合医院，被诊断为张力障碍危象。通过静脉注射可乐定成功治疗，患者完全康复并恢复到基线功能状态。
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