Paroxysmal Sympathetic Hyperactivity after Surgery for Cerebral Hemorrhagic Arteriovenous Malformation: A Case Report

Hiroki Yamada, Ryogo Kikuchi, Jumpei Katayama, Akiyoshi Nakamura, Hiromichi Miyazaki

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Paroxysmal sympathetic hyperactivity is a condition involving a sudden increase in body temperature, heart rate, blood pressure, respiratory rate, sweating, and posturing followed by severe brain injury. Most of the reported preceding disorders involve head trauma, followed by anoxic brain injury, and stroke. Here, we report an extremely rare case of 17-year-old man diagnosed with hemorrhagic arteriovenous malformation, underwent emergent surgery, was on prolonged sedation due to postoperative complications, and subsequently developed paroxysmal sympathetic hyperactivity. We recommend monitoring for paroxysmal sympathetic hyperactivity occurrence with severe brain injury patients, even when sedating.

Original languageEnglish
Pages (from-to)2768-2769
Number of pages2
JournalJournal of Stroke and Cerebrovascular Diseases
Volume27
Issue number10
DOIs
Publication statusPublished - 2018 Oct
Externally publishedYes

Keywords

  • Arteriovenous malformation
  • gabapentin
  • paroxysmal sympathetic hyperactivity
  • propranolol
  • surgery

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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