• KOL
    • Status Dystonicus
    • Management Of Status...
    • Management of status dystonicus: Our experience and review of the literature: Influence Statistics

      Expert Impact

      Concepts for whichthey havehas direct influence:Status dystonicus,Intensive unit,Acute worsening,Static encephalopathy,Data literature,Intrathecal baclofen infusion,Spinal dysraphism,Male spinal.

      Key People For Status Dystonicus

      Top KOLs in the world
      #1
      Khailash P Bhatia
      movement disorders cervical dystonia parkinson disease
      #2
      C David Marsden
      parkinsons disease basal ganglia substantia nigra
      #3
      Niall Patrick Quinn
      parkinsons disease multiple atrophy progressive supranuclear
      #4
      Alfonso E Fasano
      deep brain stimulation essential tremor parkinson disease
      #5
      Lucinda J Carr
      botulinum toxin young people cerebral palsy
      #6
      Robin Simon Howard
      myasthenia gravis amyotrophic lateral sclerosis respiratory failure

      Management of status dystonicus: Our experience and review of the literature

      Abstract

      Status dystonicus (SD) is a life threatening disorder that develops in patients with both primary and secondary dystonia, characterized by acute worsening of symptoms with generalized and severe muscle contractions. To date, no information is available on the best way to treat this disorder. We review the previously described cases of SD and two new cases are reported, one of which occurring in a child with static encephalopathy, and the other one in a patient with pantothenate kinase-associated neurodegeneration. Both patients were admitted to an intensive care unit and treated with midazolam and propofol. This approach proved to be useful in the former while the progressive nature of the dystonia of the second patient required the combination of intrathecal baclofen infusion and bilateral pallidal deep brain stimulation. We believe that a rapid and aggressive approach is justified to avoid the great morbidity and mortality which characterize SD. Our experience, combined with the data available in the literature, might permit to establish the best strategies in managing this rare and severe condition.

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