title: Paroxysmal autonomic instability with dystonia (PAID) syndrome following cardiac arrest.
abstract: Paroxysmal autonomic instability with dystonia (PAID) appears to be a unique syndrome following brain injury. It can echo many life-threatening conditions, making its early recognition and management a challenge for intensivists. A delay in early recognition and subsequent management may result in increased morbidity, which is preventable in affected patients. Herein, we report the case of a patient who was diagnosed with PAID syndrome following prolonged cardiac arrest, and discuss the pathophysiology, clinical presentation and management of this rare and under-recognised clinical entity.
authors.affiliation: Department of Anaesthesia and Intensive Care, Government Medical College and Hospital, Chandigarh, India. kapoor.dheeraj72@gmail.com.
authors.forename: Dheeraj
authors.initials: D
authors.lastname: Kapoor
authors.forename: Deepak
authors.initials: D
authors.lastname: Singla
authors.forename: Jasveer
authors.initials: J
authors.lastname: Singh
authors.forename: Rohit
authors.initials: R
authors.lastname: Jindal
mesh_terms: D000328:Adult; D001007:Anxiety / Q000150:complications; D001342:Autonomic Nervous System Diseases / Q000209:etiology*; D001930:Brain Injuries / Q000209:etiology*; D003422:Critical Care; D003937:Diagnosis, Differential; D004421:Dystonia / Q000209:etiology*; D006323:Heart Arrest / Q000150:complications*; D006801:Humans; D000860:Hypoxia; D008297:Male; D012120:Respiration Disorders / Q000150:complications; D013577:Syndrome; D016896:Treatment Outcome