Paroxysmal Sympathetic Hyperactivity in Patients Victims of Traumatic Brain Injury: Literature Review
Arq. bras. neurocir
; 41(1): 70-75, 07/03/2022.
Article
em En
| LILACS
| ID: biblio-1362089
Biblioteca responsável:
BR1.1
ABSTRACT
The present literature review aims to present the physiology of paroxysmal sympathetic hyperactivity (PSH) as well as its clinical course, conceptualizing them, and establishing its diagnosis and treatment. Paroxysmal sympathetic hyperactivity is a rare syndrome, which often presents after an acute traumatic brain injury. Characterized by a hyperactivity of the sympathetic nervous system, when diagnosed in its pure form, its symptomatologic presentation is through tachycardia, tachypnea, hyperthermia, hypertension, dystonia, and sialorrhea. The treatment of PSH is basically pharmacological, using central nervous system suppressors; however, the nonmedication approach is closely associated with a reduction in external stimuli, such as visual and auditory stimuli. Mismanagement can lead to the development of serious cardiovascular and diencephalic complications, and the need for neurosurgeons and neurointensivists to know about PSH is evident in order to provide a fast and accurate treatment of this syndrome.
Texto completo:
1
Base de dados:
LILACS
Assunto principal:
Doenças do Sistema Nervoso Autônomo
/
Sistema Nervoso Simpático
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article