Figure 1
A–B Cranial computed tomography scan showing an extensive left parietal craniotomy, trepanation in the right coronal suture with an external ventricular drain placed in the frontal horn of the right lateral ventricle. Multiple skullcap fractures with misalignment mainly in the right parietal region. High convexity biparietal hypodense lesions with extension to the frontal lobes and adjacent deep white-matter with compensatory lateral ventricles enlargement. C–D: (C) Axial T2-weighted and (D) coronal T2-weighted brain magnetic resonance imaging showing diffuse brain lesions involving the white matter and cortex, particularly in the posterior lobes, related to the previous cranial trauma (white arrows).
Video 1
Paroxysmal Autonomic Instability with Dystonia. Video shows four bouts of dystonic posturing in a semi-opisthotonic pattern combined with dyspnea, tachycardia and hypertension (the last two are not shown on video).