Sir,Paroxysmal autonomic instability with dystonia (PAID) is seen in 8-33% of patients with severe brain injury. The syndrome is characterized by agitation, diaphoresis, hyperthermia, tachycardia, hypertension, tachypnea, hypertonia, and extensor posturing. To our knowledge, there are only three reported cases of PAID syndrome after intracerebral hemorrhage (ICH). We present the fourth case of PAID in a patient with large ICH.
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