Suliman Mohamed S, Dobariya Varun, Shehata Mena, Singh Davinder, Al-Astal Amro
Internal Medicine, Marshall University, Joan C. Edwards School of Medicine, Huntington, USA.
Internal Medicine: Pulmonology, Marshall University, Joan C. Edwards School of Medicine, Huntington, USA.
Cureus. 2020 Feb 10;12(2):e6933. doi: 10.7759/cureus.6933.
Paroxysmal sympathetic hyperactivity (PSH) is a rare syndrome that is a recognized complication of severe brain injury. It is characterized by episodic hypertension, hyperthermia, tachycardia, tachypnea, diaphoresis, and specific posturing. It is prevalent in an intensive care unit (ICU) setting where high acuity illnesses can mask the symptoms of PSH. Herein, we report a case of PSH in a patient with a past medical history significant for glioblastoma multiforme (GBM) status post hemicraniectomy, radiation, and chemotherapy.
阵发性交感神经过度兴奋（PSH）是一种罕见综合征，是严重脑损伤的一种公认并发症。其特征为发作性高血压、体温过高、心动过速、呼吸急促、多汗及特定姿势。在重症监护病房（ICU）环境中较为常见，此类高 acuity 疾病可能掩盖 PSH 的症状。在此，我们报告一例 PSH 病例，该患者既往有多形性胶质母细胞瘤（GBM）病史，接受过颅骨切除术、放疗及化疗。
