RESUMEN
Abusive head trauma, which is a subset of Shaken baby syndrome, refers to a type of brain injury that occurs when the baby's head is subjected to undesirable forces. The characteristic lack of contributory history often leads to misdiagnosis, delayed treatment and suboptimal clinical outcome. We reported a neonatal presentation of abusive head trauma which posed significant diagnostic challenges. This manuscript depicts our journey to the correct diagnosis and also a review of current literature on abusive head trauma.
RESUMEN
Mixed autonomic hyperactivity disorder (MAHD) among patients with acquired brain injury can be rare. A delayed diagnosis of MAHD might exacerbate the clinical outcome and increase healthcare expenses with unnecessary testing. However, MAHD is still an underrecognized and evolving disease entity. A 25-yr-old woman was admitted the clinic due to craniopharyngioma. After an extensive tumor resection, she complained of sustained fever, papillary contraction, hiccup, lacrimation, and sighing. An extensive evaluation of the sustained fever was conducted. Finally, the cause for MAHD was suspected, and the patient was successfully treated with bromocriptine for a month.