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KMID : 1201420150080020066
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Journal of Neurocritical Care
2015 Volume.8 No. 2 p.66 ~ p.72
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Paroxysmal Sympathetic Hyperactivity in the Neurological Intensive Care Unit
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Ko Sang-Bae
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Abstract
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Paroxysmal sympathetic hyperactivity (PSH) is a well-known clinical syndrome, which is frequently encountered in treating patients with severe brain injury including traumatic brain injury, hypoxic ischemic injury and severe stroke in the neuroICU. PSH is characterized by episodic hypertension, tachycardia, tachypnea, excessive diaphoresis, fever, and pathologic posturing. Although its pathophysiology is still not clearly understood, its early recognition and prompt management is mandatory in patients with brain injury. Herein, we briefly reviewed the diagnosis, prognosis and treatment of PSH.
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KEYWORD
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Paroxysmal sympathetic hyperactivity, NeuroICU, Tachycardia, Tachypnea, Fever
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