Case report: Reversible encephalopathy caused by dyskinesia-hyperpyrexia syndrome

Frontiers in Neurology

Neurology

Bohan Luo¹  Hainan Zhang¹  Lixia Qin² 

[1] Department of Neurology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China;null;

关键词: reversible encephalopathy;    Parkinson's disease;    dyskinesia-hyperpyrexia syndrome;    emergency;    MRI findings;   

DOI  :  10.3389/fneur.2023.1234974

 received in 2023-06-05, accepted in 2023-07-24,  发布年份 2023

来源: Frontiers

【 摘 要 】

Parkinson's disease (PD) is a common neurodegenerative disorder. Some patients with advanced-stage disease are accompanied by emergencies and critical issues such as dyskinesia-hyperpyrexia syndrome (DHS), parkinsonism-hyperpyrexia syndrome (PHS), and serotonin syndrome (SS). In this study, we report a patient with reversible encephalopathy caused by DHS who presented with an acute onset of fidgetiness, dyskinesia, and hyperpyrexia after antiparkinsonian drug abuse. In the present case, brain magnetic resonance imaging (MRI) showed multiple abnormal signals in the cortex and subcortex of the bilateral parietal and occipital lobes that resolved within weeks, which coincided with the characteristic MRI findings in posterior reversible encephalopathy (PRES). Our report expands on the neuroimaging features of DHS and highlights the importance of early identification, diagnosis, and treatment to improve patient prognosis.

【 授权许可】

Unknown   
Copyright © 2023 Luo, Zhang and Qin.