Hiperactividad simpática paroxística: una entidad subdiagnosticada: caso clínico / Paroxysmal sympathetic hyperactivity: report of one case
Rev. méd. Chile
;
148(7): 1034-1038, jul. 2020. tab, graf
Article
Dans Espagnol
| LILACS
| ID: biblio-1139407
RESUMEN
Paroxysmal sympathetic hyperactivity may appear after brain injury. Its clinical manifestations are sporadic and self-limited crisis of arterial hypertension, hyperthermia, tachycardia, hyperhidrosis, muscle tension, sialorrhea and mydriasis. These subside with the administration of morphine and beta-blockers. It may be caused by a dysautonomia leading to increased levels of catecholamines due to the lack of brain regulation. We report a 19 years-old man with a history of illicit drug and alcohol consumption, with a secondary axonal injury due to a cranioencephalic trauma. During hospitalization, he had recurrent, self-limited episodes of dysautonomia. An infectious cause was discarded. When morphine was administrated suspecting the presence of pain, the crisis subsided, which helped to establish the diagnosis of paroxysmal sympathetic hyperactivity.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Système nerveux sympathique
/
Encéphale
/
Hémorragie
Limites du sujet:
Adulte
/
Humains
/
Mâle
langue:
Espagnol
Texte intégral:
Rev. méd. Chile
Thème du journal:
Médicament
Année:
2020
Type:
Article
Pays d'affiliation:
Chili
Institution/Pays d'affiliation:
Hospital San Juan de Dios/CL
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