Department of Pediatrics, Ishan Children and Women's Hospital, Basundhara, Kathmandu, Nepal.
Department of Pediatrics, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
JNMA J Nepal Med Assoc. 2022 Aug 1;60(252):739-742. doi: 10.31729/jnma.7614.
Status dystonicus is characterised by involuntary sustained or intermittent muscle contractions of muscles causing repetitive twisting movements, abnormal postures of the body, or both is a rare but life-threatening movement disorder. Early diagnosis and management of status dystonicus prevent serious complications. We report a 2 years old previously developmental delay diagnosed girl who presented with generalised contractions of the whole body. Tightening of limbs is aggravated by touching her backside which is a very unique feature. Dystonia is associated with severe sweating and was confused with a seizure event. The patient was treated with midazolam, clonidine, phenytoin, gabapentin, pyridoxine, baclofen, and trihexyphenidyl. She was admitted to the intensive care unit for monitoring. The patient partially recovered after 10 days of treatment.
aspiration; children; dystonia; epilepsy; pneumonia.
姿势张力障碍是一种罕见但危及生命的运动障碍，其特征是肌肉的不自主持续或间歇性收缩，导致身体重复扭曲运动、异常姿势或两者兼有。早期诊断和治疗姿势张力障碍可预防严重并发症。我们报告了一名 2 岁女孩，此前被诊断为发育迟缓，表现为全身广泛性收缩。触摸她的臀部会加剧四肢的紧绷，这是一个非常独特的特征。肌张力障碍与严重出汗有关，并与癫痫发作事件混淆。患者接受咪达唑仑、可乐定、苯妥英钠、加巴喷丁、吡哆醇、巴氯芬和苯海索治疗。她被收入重症监护病房进行监测。患者在治疗 10 天后部分康复。
吸入；儿童；肌张力障碍；癫痫；肺炎。
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