Hiperactividad simpática paroxística: una entidad subdiagnosticada. Caso clínico

Paroxysmal sympathetic hyperactivity may appear after brain injury. Its clinical manifestations are sporadic and self-limited crisis of arterial hypertension, hyperthermia, tachycardia, hyperhidrosis, muscle tension, sialorrhea and mydriasis. These subside with the administration of morphine and bet...

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Autores principales:	Roa Cáceres,Cristian, Rosas Orrego,Camila
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Autonomic Nervous System Diseases Brain Injuries Diffuse Axonal Injury Morphine
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000701034
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spelling	oai:scielo:S0034-988720200007010342020-10-09Hiperactividad simpática paroxística: una entidad subdiagnosticada. Caso clínicoRoa Cáceres,CristianRosas Orrego,Camila Autonomic Nervous System Diseases Brain Injuries Diffuse Axonal Injury Morphine Paroxysmal sympathetic hyperactivity may appear after brain injury. Its clinical manifestations are sporadic and self-limited crisis of arterial hypertension, hyperthermia, tachycardia, hyperhidrosis, muscle tension, sialorrhea and mydriasis. These subside with the administration of morphine and beta-blockers. It may be caused by a dysautonomia leading to increased levels of catecholamines due to the lack of brain regulation. We report a 19 years-old man with a history of illicit drug and alcohol consumption, with a secondary axonal injury due to a cranioencephalic trauma. During hospitalization, he had recurrent, self-limited episodes of dysautonomia. An infectious cause was discarded. When morphine was administrated suspecting the presence of pain, the crisis subsided, which helped to establish the diagnosis of paroxysmal sympathetic hyperactivity.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.7 20202020-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000701034es10.4067/S0034-98872020000701034
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Autonomic Nervous System Diseases Brain Injuries Diffuse Axonal Injury Morphine
spellingShingle	Autonomic Nervous System Diseases Brain Injuries Diffuse Axonal Injury Morphine Roa Cáceres,Cristian Rosas Orrego,Camila Hiperactividad simpática paroxística: una entidad subdiagnosticada. Caso clínico
description	Paroxysmal sympathetic hyperactivity may appear after brain injury. Its clinical manifestations are sporadic and self-limited crisis of arterial hypertension, hyperthermia, tachycardia, hyperhidrosis, muscle tension, sialorrhea and mydriasis. These subside with the administration of morphine and beta-blockers. It may be caused by a dysautonomia leading to increased levels of catecholamines due to the lack of brain regulation. We report a 19 years-old man with a history of illicit drug and alcohol consumption, with a secondary axonal injury due to a cranioencephalic trauma. During hospitalization, he had recurrent, self-limited episodes of dysautonomia. An infectious cause was discarded. When morphine was administrated suspecting the presence of pain, the crisis subsided, which helped to establish the diagnosis of paroxysmal sympathetic hyperactivity.
author	Roa Cáceres,Cristian Rosas Orrego,Camila
author_facet	Roa Cáceres,Cristian Rosas Orrego,Camila
author_sort	Roa Cáceres,Cristian
title	Hiperactividad simpática paroxística: una entidad subdiagnosticada. Caso clínico
title_short	Hiperactividad simpática paroxística: una entidad subdiagnosticada. Caso clínico
title_full	Hiperactividad simpática paroxística: una entidad subdiagnosticada. Caso clínico
title_fullStr	Hiperactividad simpática paroxística: una entidad subdiagnosticada. Caso clínico
title_full_unstemmed	Hiperactividad simpática paroxística: una entidad subdiagnosticada. Caso clínico
title_sort	hiperactividad simpática paroxística: una entidad subdiagnosticada. caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000701034
work_keys_str_mv	AT roacacerescristian hiperactividadsimpaticaparoxisticaunaentidadsubdiagnosticadacasoclinico AT rosasorregocamila hiperactividadsimpaticaparoxisticaunaentidadsubdiagnosticadacasoclinico
_version_	1718437141898330112

Hiperactividad simpática paroxística: una entidad subdiagnosticada. Caso clínico

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