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Medicina (Buenos Aires)

Print version ISSN 0025-7680On-line version ISSN 1669-9106


YOUNG, Pablo et al. Paroxysmal sympathetic storm after diffuse axonal head injury. Medicina (B. Aires) [online]. 2006, vol.66, n.5, pp.439-442. ISSN 0025-7680.

The term paroxysmal sympathetic storms is used to define episodic alterations in body temperature, blood pressure, heart and respiratory rate, size of pupil, and level of consciousness coinciding with hyperhidrosis, excessive salivation and extensor posturing. All the cases were presented after severe diffuse axonal head injury. We present two young patients with diffuse axonal head injury that develop in their evolution hypertension, tachycardia and fever without evidence during the episodes of epileptiform activity and without any infectious cause with excellent answer to the treatment with beta-blockers and morphine. We consider that the correct diagnosis of this entity minimizes the application of unnecessary studies allowing an appropriate treatment.

Keywords : Paroxysmal sympathetic storms; Autonomic abnormalities; Diffuse axonal head injury.

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