• Neurocritical care · Jan 2005

    Case Reports

    Paroxysmal sympathetic storm.

    • Alan L Diamond, R Charlie Callison, Jahansouz Shokri, Salvador Cruz-Flores, and Laurence J Kinsella.
    • Department of Neurology, Saint Louis University School of Medicine, USA.
    • Neurocrit Care. 2005 Jan 1; 2 (3): 288-91.

    IntroductionParoxysmal sympathetic storm (PSS) is a rare syndrome characterized by episodic hypertension, hyperhydrosis, hyperthermia, tachycardia, tachypnea, and extensor posturing.Case ReportsThis article describes two cases of PSS: one following traumatic brain injury and the other following cardiac arrest.DiscussionThe first responded to labetalol, morphine, and codeine, whereas the second responded to labetalol.ConclusionThese observations underscore the importance of central opioid receptors and nonselective beta-adrenergic antagonists in modulating catecholamine pathways.

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