Cerebral dysautonomy as a clinical repercussion in children with traumatic brain injury

Introduction: Dysautonomia or Paroxysmal Sympathetic Hyperactivity (PSH) affects more than 50% of patients suffering from severe traumatic brain injury (TBI), which is a major cause of morbidity and mortality in children under 12 years. The goal is to demonstrate that PSH is established as a consequ...

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Autores principales:	Jassiara Soares da Silva, Carlos Umberto Pereira, Nicollas Nunes Rabelo
Formato:	article
Lenguaje:	EN
Publicado:	Brazilian Society for Pediatric Neurosurgery 2020
Materias:	autonomic nervous system brain injuries child primary dysautonomias Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/eed3f4430d5d4ca88934ba34e5b934d5
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spelling	oai:doaj.org-article:eed3f4430d5d4ca88934ba34e5b934d52021-11-23T21:46:36ZCerebral dysautonomy as a clinical repercussion in children with traumatic brain injury2675-362610.46900/apn.v2i2(May-August).40https://doaj.org/article/eed3f4430d5d4ca88934ba34e5b934d52020-08-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/40https://doaj.org/toc/2675-3626Introduction: Dysautonomia or Paroxysmal Sympathetic Hyperactivity (PSH) affects more than 50% of patients suffering from severe traumatic brain injury (TBI), which is a major cause of morbidity and mortality in children under 12 years. The goal is to demonstrate that PSH is established as a consequence in children with severe brain trauma. Methodology: Forty articles were found in databases such as LILACS, Elsevier and Scielo that address the theme, excluding those that addressed the TBI in adults and including those that addressed the theme in the pediatric context and published about the PSH, published until the year of 2019. Results: Severe TBI is established as a common cause of hospitalization of children and PSH as a common consequence. Diagnosis and management of this complication require the help of tools such as "PSH-Assessment Measure (PSH-AM)", which has criteria that facilitate the exclusion of other possible causes and guide the treatment. Non-pharmacological therapeutic measures include control of room temperature and low sensory and pharmacological stimuli to deal with symptoms, such as drugs such as opioids, gabaergic agonists, benzodiazepines and adrenergic antagonists. Conclusion: Severe TBI, a common pediatric emergency, can be considered a predictor of PSH. Even though there is no consensus on the diagnosis, PSH-AM proves to be a reliable alternative to professionals dealing with conditions that may or may not correspond with post trauma dysautonomia. This makes it possible to determine not only the child's clinical condition but also the best therapy to apply.Jassiara Soares da SilvaCarlos Umberto PereiraNicollas Nunes RabeloBrazilian Society for Pediatric Neurosurgeryarticleautonomic nervous systembrain injurieschildprimary dysautonomiasPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 2, Iss 2(May-August), Pp e402020-e402020 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	autonomic nervous system brain injuries child primary dysautonomias Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	autonomic nervous system brain injuries child primary dysautonomias Pediatrics RJ1-570 Surgery RD1-811 Jassiara Soares da Silva Carlos Umberto Pereira Nicollas Nunes Rabelo Cerebral dysautonomy as a clinical repercussion in children with traumatic brain injury
description	Introduction: Dysautonomia or Paroxysmal Sympathetic Hyperactivity (PSH) affects more than 50% of patients suffering from severe traumatic brain injury (TBI), which is a major cause of morbidity and mortality in children under 12 years. The goal is to demonstrate that PSH is established as a consequence in children with severe brain trauma. Methodology: Forty articles were found in databases such as LILACS, Elsevier and Scielo that address the theme, excluding those that addressed the TBI in adults and including those that addressed the theme in the pediatric context and published about the PSH, published until the year of 2019. Results: Severe TBI is established as a common cause of hospitalization of children and PSH as a common consequence. Diagnosis and management of this complication require the help of tools such as "PSH-Assessment Measure (PSH-AM)", which has criteria that facilitate the exclusion of other possible causes and guide the treatment. Non-pharmacological therapeutic measures include control of room temperature and low sensory and pharmacological stimuli to deal with symptoms, such as drugs such as opioids, gabaergic agonists, benzodiazepines and adrenergic antagonists. Conclusion: Severe TBI, a common pediatric emergency, can be considered a predictor of PSH. Even though there is no consensus on the diagnosis, PSH-AM proves to be a reliable alternative to professionals dealing with conditions that may or may not correspond with post trauma dysautonomia. This makes it possible to determine not only the child's clinical condition but also the best therapy to apply.
format	article
author	Jassiara Soares da Silva Carlos Umberto Pereira Nicollas Nunes Rabelo
author_facet	Jassiara Soares da Silva Carlos Umberto Pereira Nicollas Nunes Rabelo
author_sort	Jassiara Soares da Silva
title	Cerebral dysautonomy as a clinical repercussion in children with traumatic brain injury
title_short	Cerebral dysautonomy as a clinical repercussion in children with traumatic brain injury
title_full	Cerebral dysautonomy as a clinical repercussion in children with traumatic brain injury
title_fullStr	Cerebral dysautonomy as a clinical repercussion in children with traumatic brain injury
title_full_unstemmed	Cerebral dysautonomy as a clinical repercussion in children with traumatic brain injury
title_sort	cerebral dysautonomy as a clinical repercussion in children with traumatic brain injury
publisher	Brazilian Society for Pediatric Neurosurgery
publishDate	2020
url	https://doaj.org/article/eed3f4430d5d4ca88934ba34e5b934d5
work_keys_str_mv	AT jassiarasoaresdasilva cerebraldysautonomyasaclinicalrepercussioninchildrenwithtraumaticbraininjury AT carlosumbertopereira cerebraldysautonomyasaclinicalrepercussioninchildrenwithtraumaticbraininjury AT nicollasnunesrabelo cerebraldysautonomyasaclinicalrepercussioninchildrenwithtraumaticbraininjury
_version_	1718416129025638400

Cerebral dysautonomy as a clinical repercussion in children with traumatic brain injury

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