Status Dystonicus as an Acute Sequelae Following Anoxic Cerebral Damage

  • Somdattaa Ray
  • Ravinder Jeet Singh Sidhu
  • Pramod Kumar Pal
  • Ravi Yadav

Abstract

Background: Status dystonicus (SD) is the term used for extreme, continuous, generalized muscle contractions that are poorly responsive to treatment. Here, we report a rare case of acute hypoxic ischemic encephalopathy presenting with SD.

Case Report: A young male sustained cerebral hypoxia following a cardiac event and presented with opisthotonic posturing and dystonia refractory to medical therapy. His serum creatine phosphokinase was high and his urine tested positive for myoglobin.

Discussion: SD as an acute sequelae following acute brain hypoxia is rare. Management of brain anoxia is challenging, even more so when the presentation is compounded by refractory SD.

Keywords: Dystonia, emergency, hypoxia, status, anoxia

Citation: Ray S, Sidhu RJS, Pal PK, Yadav R. Status dystonicus as an acute sequelae following anoxic cerebral damage. Tremor Other Hyperkinet Mov. 2019; 9. doi: 10.7916/98r0-7438