Neurovegetative dysautonomies: an interesting clinical case

Authors

Keywords:

DeCS, MORFINA, HIDROCEFALIA OBSTRUCTIVA, HIPERACTIVIDAD SIMPÁTICA PAROXÍSTICA, PROPRANOLOL.

Abstract

Background: paroxysmal sympathetic hyperactivity consists of self-limited episodes of arterial hypertension, tachycardia, tachypnea, hyperhidrosis, decreased level of consciousness, increased muscle tone with extension posture, hyperthermia, sialorrhea and mydriasis. Frequently their recognition is delayed, which increases morbidity and mortality.
Objective: to make known the importance of an early diagnosis and treatment of the entity for greater survival of the affected patient.
Case report: a 33-years-old female patient who developed a paroxysmal sympathetic hyperactivity associated with obstructive hydrocephalus.
Conclusions: the entity should be suspected in patients with acute brain damage of various etiologies. Early diagnosis is vital to avoid unnecessary diagnostic studies and interventions and to initiate a rapid and appropriate treatment that modifies the evolution of the syndrome.

DeCS: PRIMARY DYSAUTONOMIAS/therapy; PRIMARY DYSAUTONOMIAS/diagnosis; HYPERKINESIS; HYDROCEPHALUS; BRAIN INJURIES.

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Author Biography

Jany Pozo-Díaz, Hospital General Abel Santamaría Cuadrado

Soy médico especialista en 1er grado en MGI y en Medicina Intensiva y Emergemcias, trabajo en el hospital mencionado anteriormente en el servicio de Terapia Intermedia, soy profesora instructora y trabajo en la formación de los residentes de 1er año de la especialidad de medicina intensiva.

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Published

2019-07-21

How to Cite

1.
Pozo-Díaz J. Neurovegetative dysautonomies: an interesting clinical case. Arch méd Camagüey [Internet]. 2019 Jul. 21 [cited 2025 Nov. 28];23(4):522-30. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/6378

Issue

Vol. 23 No. 4 (2019)

Section

Case Reports

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