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January 1, 2010Pediatric Neurosurgery

In a 12-year-old male with traumatic paroxysmal sympathetic storm, sympathetic episodes were accompanied by ICP elevations >20 mm Hg, which subsided with hyperventilation and midazolam infusion.

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Population

12-year-old male patient with severe traumatic brain injury and paroxysmal sympathetic storm (n=1)

Design

Case_report

Key result

In a 12-year-old male with traumatic paroxysmal sympathetic storm, sympathetic episodes were accompanied by ICP elevations >20 mm Hg, which subsided with hyperventilation and midazolam infusion.

Authors

HWHyun Jin WooSPSeong Hyun ParkSHSung Kyoo Hwang

Discussion

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Overview

ICP monitoring may be considered in pediatric paroxysmal sympathetic storm; single case leaves open need for prospective validation.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
A 12-year-old male patient with severe traumatic brain injury who developed paroxysmal sympathetic storm.
E
Exposure
Continuous intracranial pressure (ICP) monitoring using fiber-optic intraparenchymal method, hyperventilation, and continuous intravenous midazolam infusion
O
Outcome
Pattern of intracranial pressure (ICP) and response to hyperventilation and midazolam

Continuous ICP monitoring in traumatic paroxysmal sympathetic storm reveals ICP elevations during sympathetic episodes that can be managed with hyperventilation and midazolam to prevent secondary brain damage.

Cite This Study

Woo et al. (2010) conducted a case report in Traumatic Paroxysmal Sympathetic Storm (n=1). Intracranial pressure (ICP) monitoring was evaluated on Intracranial pressure (ICP) pattern and sympathetic symptoms. In a 12-year-old male with traumatic paroxysmal sympathetic storm, sympathetic episodes were accompanied by ICP elevations >20 mm Hg, which subsided with hyperventilation and midazolam infusion.

synapsesocial.com/papers/6a9f91e02d0629650235791chttps://doi.org/10.1159/000320728
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