Burstein L, Breningstall G N
J Pediatr. 1986 Aug;109(2):260-4. doi: 10.1016/s0022-3476(86)80382-1.
Movement disorders developed in five children, ages 6 to 21 months, during the course of bacterial meningitis caused by Hemophilus influenzae (one), Streptococcus pneumoniae (one), Neisseria meningitidis (one), or Mycobacterium tuberculosis (two). Athetosis, choreoathetosis, and hemiballismus occurred, ranging in duration from hours to months. Cranial computed tomography, performed in four cases, showed no lesion of the basal ganglia. The movements were of such abrupt onset and severity that in four cases they were initially misinterpreted as seizures, and anticonvulsant therapy was contemplated. It is important to recognize the potential development of movement disorders during the acute phase of bacterial meningitis to preclude the inappropriate administration of anticonvulsant medication.
5名年龄在6至21个月的儿童在由流感嗜血杆菌（1例）、肺炎链球菌（1例）、脑膜炎奈瑟菌（1例）或结核分枝杆菌（2例）引起的细菌性脑膜炎病程中出现了运动障碍。出现了手足徐动症、舞蹈手足徐动症和偏身投掷症，持续时间从数小时到数月不等。4例进行了头颅计算机断层扫描，结果显示基底节无病变。这些运动发作突然且严重，以至于在4例中最初被误诊为癫痫发作，并考虑了抗惊厥治疗。认识到细菌性脑膜炎急性期运动障碍的潜在发展，以避免不恰当地使用抗惊厥药物，这一点很重要。
