Acute, severe self-limiting dysautonomia and hypertensive encephalopathy - 17/08/11
, Richard E Appleton ⁎, Joyce E Davidson †, David A Hughes ‡, Brian M Tedman § The Roald Dahl EEG Unit, Department of Neurology, Liverpool, United Kingdom Communications should be addressed to: Dr. Appleton; The Roald Dahl EEG Unit; Department of Neurology; Alder Hey Children’s Hospital; Liverpool L12 2AP, United KingdomAbstract |
We describe two unrelated children with almost identical clinical illnesses comprising of severe, burning dysesthesia, allodynia, hypertensive encephalopathy, and laboratory evidence of both sympathetic and parasympathetic autonomic disturbance after a nonspecific viral illness. No underlying etiology was identified. Both patients displayed complete resolution of their clinical and radiologic findings after a number of months, and there was no recurrence over a follow-up period of 17 months to 4 years. Treatment of the patients’ dysesthesias proved difficult, requiring multiple analgesics and intensive physiotherapy. We speculate that their illnesses may represent a pure autonomic variant of Guillain-Barré syndrome.
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Vol 25 - N° 4
P. 319-324 - octobre 2001 Retour au numéro
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