Case report reveals paroxysmal sympathetic hyperactivity in a trauma patient, suggesting diagnostic and therapeutic options for altered mental status.
Traumatic injuries and procedures under anesthesia can both predispose patients to altered mental status for many reasons. In this case, a 21 year old man presented with an isolated femur fracture and developed paroxysmal sympathetic hyperactivity after surgical fixation. This case highlights the diagnostic considerations when a trauma patient develops dysautonomia and altered mental status and explores therapeutic options for treating a patient with sympathetic storming.
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Schor et al. (2025) studied this question.
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