TY - JOUR
T1 - Paroxysmal Sympathetic Hyperactivity after Surgery for Cerebral Hemorrhagic Arteriovenous Malformation
T2 - A Case Report
AU - Yamada, Hiroki
AU - Kikuchi, Ryogo
AU - Katayama, Jumpei
AU - Nakamura, Akiyoshi
AU - Miyazaki, Hiromichi
N1 - Publisher Copyright:
© 2018
PY - 2018/10
Y1 - 2018/10
N2 - 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.
AB - 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.
KW - Arteriovenous malformation
KW - gabapentin
KW - paroxysmal sympathetic hyperactivity
KW - propranolol
KW - surgery
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U2 - 10.1016/j.jstrokecerebrovasdis.2018.06.002
DO - 10.1016/j.jstrokecerebrovasdis.2018.06.002
M3 - Article
C2 - 30064867
AN - SCOPUS:85050645302
VL - 27
SP - 2768
EP - 2769
JO - Journal of Stroke and Cerebrovascular Diseases
JF - Journal of Stroke and Cerebrovascular Diseases
SN - 1052-3057
IS - 10
ER -