Generalized dystonia following resuscitation from a cardiac arrest: a case report and review of the literature
Background A wide variety of movement disorders can be observed after cerebral hypoxia, including akineto-hypertonic syndrome and dystonia. Post-anoxic dystonia is a rare clinical syndrome that is not widely reported in the literatures. It is thought to be related to cerebral hypoxia leading to isch...
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| Veröffentlicht in: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Psychiatry and Neurosurgery, 2023-12, Vol.59 (1), p.166-3, Article 166 |
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| container_title | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
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| creator | Mbodji, Ahmadou Bamba Fall, Maouly Gaye, Ndiaga Matar Ka, Mamadou Dione, Jean Claude Ndiaye, Moustapha Diop, Amadou Gallo |
| description | Background
A wide variety of movement disorders can be observed after cerebral hypoxia, including akineto-hypertonic syndrome and dystonia. Post-anoxic dystonia is a rare clinical syndrome that is not widely reported in the literatures. It is thought to be related to cerebral hypoxia leading to ischaemia of the basal ganglia.
Case description
We report a case of an 11-year-old girl who represented with generalized dystonia following resuscitation from a cardiac arrest after open heart surgery. Brain MRI showed basal ganglia hypersignals in T2-FLAIR (fluid attenuated inversion recovery) weighted sequence and in the diffusion sequence without restriction of ACD in favour of subacute ischemic lesions. Treated with oral baclofen, the evolution was favourable with regression of the dystonia.
Conclusion
It is often difficult to accurately predict the final neurological outcome of a patient who has survived cardiac arrest. Baclofen and anticholinergic can be used for the treatment for dystonia post-cerebral hypoxia. |
| doi_str_mv | 10.1186/s41983-023-00766-9 |
| format | Article |
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A wide variety of movement disorders can be observed after cerebral hypoxia, including akineto-hypertonic syndrome and dystonia. Post-anoxic dystonia is a rare clinical syndrome that is not widely reported in the literatures. It is thought to be related to cerebral hypoxia leading to ischaemia of the basal ganglia.
Case description
We report a case of an 11-year-old girl who represented with generalized dystonia following resuscitation from a cardiac arrest after open heart surgery. Brain MRI showed basal ganglia hypersignals in T2-FLAIR (fluid attenuated inversion recovery) weighted sequence and in the diffusion sequence without restriction of ACD in favour of subacute ischemic lesions. Treated with oral baclofen, the evolution was favourable with regression of the dystonia.
Conclusion
It is often difficult to accurately predict the final neurological outcome of a patient who has survived cardiac arrest. Baclofen and anticholinergic can be used for the treatment for dystonia post-cerebral hypoxia.</description><identifier>ISSN: 1687-8329</identifier><identifier>ISSN: 1110-1083</identifier><identifier>EISSN: 1687-8329</identifier><identifier>DOI: 10.1186/s41983-023-00766-9</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Cardiac arrest ; Case Report ; Case reports ; Cerebral hypoxia ; Consent ; Dystonia ; Generalized dystonia ; Heart surgery ; Hypoxia ; Ischemia ; Literature reviews ; Magnetic resonance imaging ; Medicine ; Medicine & Public Health ; Movement disorders ; Neurology ; Neurosurgery ; Patients ; Psychiatry ; Thoracic surgery</subject><ispartof>The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 2023-12, Vol.59 (1), p.166-3, Article 166</ispartof><rights>The Author(s) 2023</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c380t-21556f8ee53d136652f523c9bb0055d2a9a42002fa21cb0925df221bfb44de63</cites><orcidid>0000-0002-1185-2271</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,27903,27904</link.rule.ids></links><search><creatorcontrib>Mbodji, Ahmadou Bamba</creatorcontrib><creatorcontrib>Fall, Maouly</creatorcontrib><creatorcontrib>Gaye, Ndiaga Matar</creatorcontrib><creatorcontrib>Ka, Mamadou</creatorcontrib><creatorcontrib>Dione, Jean Claude</creatorcontrib><creatorcontrib>Ndiaye, Moustapha</creatorcontrib><creatorcontrib>Diop, Amadou Gallo</creatorcontrib><title>Generalized dystonia following resuscitation from a cardiac arrest: a case report and review of the literature</title><title>The Egyptian Journal of Neurology, Psychiatry and Neurosurgery</title><addtitle>Egypt J Neurol Psychiatry Neurosurg</addtitle><description>Background
A wide variety of movement disorders can be observed after cerebral hypoxia, including akineto-hypertonic syndrome and dystonia. Post-anoxic dystonia is a rare clinical syndrome that is not widely reported in the literatures. It is thought to be related to cerebral hypoxia leading to ischaemia of the basal ganglia.
Case description
We report a case of an 11-year-old girl who represented with generalized dystonia following resuscitation from a cardiac arrest after open heart surgery. Brain MRI showed basal ganglia hypersignals in T2-FLAIR (fluid attenuated inversion recovery) weighted sequence and in the diffusion sequence without restriction of ACD in favour of subacute ischemic lesions. Treated with oral baclofen, the evolution was favourable with regression of the dystonia.
Conclusion
It is often difficult to accurately predict the final neurological outcome of a patient who has survived cardiac arrest. Baclofen and anticholinergic can be used for the treatment for dystonia post-cerebral hypoxia.</description><subject>Cardiac arrest</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Cerebral hypoxia</subject><subject>Consent</subject><subject>Dystonia</subject><subject>Generalized dystonia</subject><subject>Heart surgery</subject><subject>Hypoxia</subject><subject>Ischemia</subject><subject>Literature reviews</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Movement disorders</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Patients</subject><subject>Psychiatry</subject><subject>Thoracic surgery</subject><issn>1687-8329</issn><issn>1110-1083</issn><issn>1687-8329</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNp9UU1LJDEQbURBUf-Ap4DnXvM9nb0t4qogePEeqpPKGGk7Y5JR3F-_cVrWPXkoqqh671UVr-vOGP3B2KAvimRmED3lLehK697sdUdMD6t-ENzs_1cfdqelxJFKzhhdGXbUzdc4Y4Yp_kFP_HupaY5AQpqm9BbnNclYtsXFCjWmmYScngkQB9lHcARyG9efu07Bht2kXAnMvpWvEd9ICqQ-IplibTvqNuNJdxBgKnj6mY-7h99XD5c3_d399e3lr7veiYHWnjOldBgQlfBMaK14UFw4M46UKuU5GJCcUh6AMzdSw5UPnLMxjFJ61OK4u11kfYInu8nxGfK7TRDtrpHy2kKu0U1omdcUR5SOUi0H6YwTDBUaBUahkKxpnS9am5xetu1f-5S2eW7XWz4Yo5RR3DQUX1Aup1Iyhn9bGbUfLtnFJdtcsjuX7AdJLKTSwPMa85f0N6y_8faViA</recordid><startdate>20231208</startdate><enddate>20231208</enddate><creator>Mbodji, Ahmadou Bamba</creator><creator>Fall, Maouly</creator><creator>Gaye, Ndiaga Matar</creator><creator>Ka, Mamadou</creator><creator>Dione, Jean Claude</creator><creator>Ndiaye, Moustapha</creator><creator>Diop, Amadou Gallo</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><general>SpringerOpen</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M2M</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-1185-2271</orcidid></search><sort><creationdate>20231208</creationdate><title>Generalized dystonia following resuscitation from a cardiac arrest: a case report and review of the literature</title><author>Mbodji, Ahmadou Bamba ; Fall, Maouly ; Gaye, Ndiaga Matar ; Ka, Mamadou ; Dione, Jean Claude ; Ndiaye, Moustapha ; Diop, Amadou Gallo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c380t-21556f8ee53d136652f523c9bb0055d2a9a42002fa21cb0925df221bfb44de63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cardiac arrest</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Cerebral hypoxia</topic><topic>Consent</topic><topic>Dystonia</topic><topic>Generalized dystonia</topic><topic>Heart surgery</topic><topic>Hypoxia</topic><topic>Ischemia</topic><topic>Literature reviews</topic><topic>Magnetic resonance imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Movement disorders</topic><topic>Neurology</topic><topic>Neurosurgery</topic><topic>Patients</topic><topic>Psychiatry</topic><topic>Thoracic surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mbodji, Ahmadou Bamba</creatorcontrib><creatorcontrib>Fall, Maouly</creatorcontrib><creatorcontrib>Gaye, Ndiaga Matar</creatorcontrib><creatorcontrib>Ka, Mamadou</creatorcontrib><creatorcontrib>Dione, Jean Claude</creatorcontrib><creatorcontrib>Ndiaye, Moustapha</creatorcontrib><creatorcontrib>Diop, Amadou Gallo</creatorcontrib><collection>SpringerOpen</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Psychology Database (ProQuest)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Directory of Open Access Journals</collection><jtitle>The Egyptian Journal of Neurology, Psychiatry and Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mbodji, Ahmadou Bamba</au><au>Fall, Maouly</au><au>Gaye, Ndiaga Matar</au><au>Ka, Mamadou</au><au>Dione, Jean Claude</au><au>Ndiaye, Moustapha</au><au>Diop, Amadou Gallo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Generalized dystonia following resuscitation from a cardiac arrest: a case report and review of the literature</atitle><jtitle>The Egyptian Journal of Neurology, Psychiatry and Neurosurgery</jtitle><stitle>Egypt J Neurol Psychiatry Neurosurg</stitle><date>2023-12-08</date><risdate>2023</risdate><volume>59</volume><issue>1</issue><spage>166</spage><epage>3</epage><pages>166-3</pages><artnum>166</artnum><issn>1687-8329</issn><issn>1110-1083</issn><eissn>1687-8329</eissn><abstract>Background
A wide variety of movement disorders can be observed after cerebral hypoxia, including akineto-hypertonic syndrome and dystonia. Post-anoxic dystonia is a rare clinical syndrome that is not widely reported in the literatures. It is thought to be related to cerebral hypoxia leading to ischaemia of the basal ganglia.
Case description
We report a case of an 11-year-old girl who represented with generalized dystonia following resuscitation from a cardiac arrest after open heart surgery. Brain MRI showed basal ganglia hypersignals in T2-FLAIR (fluid attenuated inversion recovery) weighted sequence and in the diffusion sequence without restriction of ACD in favour of subacute ischemic lesions. Treated with oral baclofen, the evolution was favourable with regression of the dystonia.
Conclusion
It is often difficult to accurately predict the final neurological outcome of a patient who has survived cardiac arrest. Baclofen and anticholinergic can be used for the treatment for dystonia post-cerebral hypoxia.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><doi>10.1186/s41983-023-00766-9</doi><tpages>3</tpages><orcidid>https://orcid.org/0000-0002-1185-2271</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Cardiac arrest Case Report Case reports Cerebral hypoxia Consent Dystonia Generalized dystonia Heart surgery Hypoxia Ischemia Literature reviews Magnetic resonance imaging Medicine Medicine & Public Health Movement disorders Neurology Neurosurgery Patients Psychiatry Thoracic surgery |
| title | Generalized dystonia following resuscitation from a cardiac arrest: a case report and review of the literature |
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