Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2012 Aug;27(8):965-8. doi: 10.3346/jkms.2012.27.8.965. Epub 2012 Jul 25.
Mixed autonomic hyperactivity disorder (MAHD) among patients with acquired brain injury can be rare. A delayed diagnosis of MAHD might exacerbate the clinical outcome and increase healthcare expenses with unnecessary testing. However, MAHD is still an underrecognized and evolving disease entity. A 25-yr-old woman was admitted the clinic due to craniopharyngioma. After an extensive tumor resection, she complained of sustained fever, papillary contraction, hiccup, lacrimation, and sighing. An extensive evaluation of the sustained fever was conducted. Finally, the cause for MAHD was suspected, and the patient was successfully treated with bromocriptine for a month.
获得性脑损伤患者的混合自主神经活动障碍(MAHD)可能很少见。MAHD 的延迟诊断可能会使临床结果恶化,并因不必要的检查而增加医疗费用。然而,MAHD 仍然是一种认识不足且不断发展的疾病实体。一位 25 岁的女性因颅咽管瘤被收入诊所。在广泛的肿瘤切除后,她主诉持续性发热、瞳孔收缩、呃逆、流泪和叹息。对持续性发热进行了广泛的评估。最终,怀疑是 MAHD 引起的,患者成功地接受了溴隐亭治疗一个月。