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Case Reports
. 2005;2(3):288-91.
doi: 10.1385/NCC:2:3:288.

Paroxysmal sympathetic storm

Alan L Diamond  1 , R Charlie Callison, Jahansouz Shokri, Salvador Cruz-Flores, Laurence J Kinsella
Affiliations
Case Reports

Paroxysmal sympathetic storm

Alan L Diamond et al. Neurocrit Care. 2005.

Abstract

Introduction: Paroxysmal sympathetic storm (PSS) is a rare syndrome characterized by episodic hypertension, hyperhydrosis, hyperthermia, tachycardia, tachypnea, and extensor posturing.

Case reports: This article describes two cases of PSS: one following traumatic brain injury and the other following cardiac arrest.

Discussion: The first responded to labetalol, morphine, and codeine, whereas the second responded to labetalol.

Conclusion: These observations underscore the importance of central opioid receptors and nonselective beta-adrenergic antagonists in modulating catecholamine pathways.

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