Paroxysmal Sympathetic Hyperactivity: Diagnostic Criteria, Complications, and Treatment after Traumatic Brain Injury

被引：0
作者：
Mirhoseini M.F. [1 ]
Hosay M.A. [1 ]
McPherson M. [1 ]
Patel M.B. [1 ,2 ,3 ]
机构：
[1] Section of Surgical Sciences, Department of Surgery, Division of Trauma, Emergency General Surgery, and Surgical Critical Care, Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, 37212, TN
[2] Vanderbilt Center for Health Services Research, Vanderbilt Brain Institute, Vanderbilt ICU Delirium & Cognitive Impairment Study Group, Nashville
[3] Surgical Services, Geriatric Research, Education and Clinical Center, US Department of Veterans Affairs, Nashville VA Medical Center, Tennessee Valley Healthcare System, Nashville
来源：
Current Physical Medicine and Rehabilitation Reports | 2018年 / 6卷 / 1期
基金：
美国国家卫生研究院;
关键词：
Dysautonomia; Paroxysmal sympathetic hyperactivity; Traumatic brain injury; Treatment modalities;
D O I：
10.1007/s40141-018-0175-z
中图分类号：
学科分类号：
摘要：
Purpose of Review: Dysautonomia, now known as paroxysmal sympathetic hyperactivity (PSH) is a phenomenon described by fever, hypertension, tachycardia, and diaphoresis among other symptoms affecting patients after traumatic brain injury. The goal of this review is to review the diagnosis, treatment, and outcomes of patients with PSH based on the most current literature. Recent Findings: Most recently, PSH has been better defined with a specific scoring system that can be applied in the clinical setting. Treatment of PSH is still quite clinically variable. Summary: PSH has been described for decades, but has only achieved consensus definition. Treatment remains variable institutionally. Much further investigation is needed to systematically assess the multiple currently utilized treatment modalities, and their effect on long-term outcomes based on the current defining criteria. © 2018, This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
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页码：81 / 88
页数：7
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  • [1] Choi H.A., Jeon S.B., Samuel S., Allison T., Lee K., Paroxysmal sympathetic hyperactivity after acute brain injury, Curr Neurol Neurosci Rep, 13, 8, (2013)
  • [2] Baguley I.J., Perkes I.E., Fernandez-Ortega J.F., Rabinstein A.A., Dolce G., Hendricks H.T., Paroxysmal sympathetic hyperactivity after acquired brain injury: consensus on conceptual definition, nomenclature, and diagnostic criteria, J Neurotrauma, 31, 17, pp. 1515-1520, (2014)
  • [3] Meyfroidt G., Baguley I.J., Menon D.K., Paroxysmal sympathetic hyperactivity: The storm after acute brain injury, Lancet Neurol., 721, 9, (2017)
  • [4] Perkes I., Baguley I.J., Nott M.T., Menon D.K., A review of paroxysmal sympathetic hyperactivity after acquired brain injury, Ann Neurol, 68, 2, pp. 126-135, (2010)
  • [5] Fernandez-Ortega J.F., Prieto-Palomino M.A., Garcia-Caballero M., Galeas-Lopez J.L., Quesada-Garcia G., Baguley I.J., Paroxysmal sympathetic hyperactivity after traumatic brain injury: clinical and prognostic implications, J Neurotrauma, 29, 7, pp. 1364-1370, (2012)
  • [6] Baguley I.J., Nicholls J.L., Felmingham K.L., Crooks J., Gurka J.A., Wade L.D., Dysautonomia after traumatic brain injury: a forgotten syndrome?, J Neurol Neurosurg Psychiatry, 67, 1, pp. 39-43, (1999)
  • [7] Fernandez-Ortega J.F., Prieto-Palomino M.A., Munoz-Lopez A., Lebron-Gallardo M., Cabrera-Ortiz H., Quesada-Garcia G., Prognostic influence and computed tomography findings in dysautonomic crises after traumatic brain injury, J Trauma, 61, 5, pp. 1129-1133, (2006)
  • [8] Lv L.Q., Hou L.J., Yu M.K., Qi X.Q., Chen H.R., Chen J.X., Hu G.H., Luo C., Lu Y.C., Risk factors related to dysautonomia after severe traumatic brain injury, J Trauma, 71, 3, pp. 538-542, (2011)
  • [9] Rossitch E., Bullard D.E., The autonomic dysfunction syndrome: aetiology and treatment, Br J Neurosurg, 2, 4, pp. 471-478, (1988)
  • [10] Boeve B.F., Wijdicks E.F., Benarroch E.E., Schmidt K.D., Paroxysmal sympathetic storms (“diencephalic seizures”) after severe diffuse axonal head injury, Mayo Clin Proc, 73, 2, pp. 148-152, (1998)
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