Paroxysmal Sympathetic Hyperactivity after Surgery for Cerebral Hemorrhagic Arteriovenous Malformation: A Case Report

Hiroki Yamada; Ryogo Kikuchi; Jumpei Katayama; Akiyoshi Nakamura; Hiromichi Miyazaki

doi:10.1016/j.jstrokecerebrovasdis.2018.06.002

Paroxysmal Sympathetic Hyperactivity after Surgery for Cerebral Hemorrhagic Arteriovenous Malformation: A Case Report

Hiroki Yamada, Ryogo Kikuchi, Jumpei Katayama, Akiyoshi Nakamura, Hiromichi Miyazaki

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

Paroxysmal sympathetic hyperactivity is a condition involving a sudden increase in body temperature, heart rate, blood pressure, respiratory rate, sweating, and posturing followed by severe brain injury. Most of the reported preceding disorders involve head trauma, followed by anoxic brain injury, and stroke. Here, we report an extremely rare case of 17-year-old man diagnosed with hemorrhagic arteriovenous malformation, underwent emergent surgery, was on prolonged sedation due to postoperative complications, and subsequently developed paroxysmal sympathetic hyperactivity. We recommend monitoring for paroxysmal sympathetic hyperactivity occurrence with severe brain injury patients, even when sedating.

Original language	English
Pages (from-to)	2768-2769
Number of pages	2
Journal	Journal of Stroke and Cerebrovascular Diseases
Volume	27
Issue number	10
DOIs	https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.06.002
Publication status	Published - 2018 Oct
Externally published	Yes

Keywords

Arteriovenous malformation
gabapentin
paroxysmal sympathetic hyperactivity
propranolol
surgery

ASJC Scopus subject areas

Surgery
Rehabilitation
Clinical Neurology
Cardiology and Cardiovascular Medicine

Access to Document

10.1016/j.jstrokecerebrovasdis.2018.06.002

Cite this

@article{dae963820fb14f89aa53a0eaf5e53c2b,

title = "Paroxysmal Sympathetic Hyperactivity after Surgery for Cerebral Hemorrhagic Arteriovenous Malformation: A Case Report",

abstract = "Paroxysmal sympathetic hyperactivity is a condition involving a sudden increase in body temperature, heart rate, blood pressure, respiratory rate, sweating, and posturing followed by severe brain injury. Most of the reported preceding disorders involve head trauma, followed by anoxic brain injury, and stroke. Here, we report an extremely rare case of 17-year-old man diagnosed with hemorrhagic arteriovenous malformation, underwent emergent surgery, was on prolonged sedation due to postoperative complications, and subsequently developed paroxysmal sympathetic hyperactivity. We recommend monitoring for paroxysmal sympathetic hyperactivity occurrence with severe brain injury patients, even when sedating.",

keywords = "Arteriovenous malformation, gabapentin, paroxysmal sympathetic hyperactivity, propranolol, surgery",

author = "Hiroki Yamada and Ryogo Kikuchi and Jumpei Katayama and Akiyoshi Nakamura and Hiromichi Miyazaki",

note = "Publisher Copyright: {\textcopyright} 2018",

year = "2018",

month = oct,

doi = "10.1016/j.jstrokecerebrovasdis.2018.06.002",

language = "English",

volume = "27",

pages = "2768--2769",

journal = "Journal of Stroke and Cerebrovascular Diseases",

issn = "1052-3057",

publisher = "W.B. Saunders Ltd",

number = "10",

}

TY - JOUR

T1 - Paroxysmal Sympathetic Hyperactivity after Surgery for Cerebral Hemorrhagic Arteriovenous Malformation

T2 - A Case Report

AU - Yamada, Hiroki

AU - Kikuchi, Ryogo

AU - Katayama, Jumpei

AU - Nakamura, Akiyoshi

AU - Miyazaki, Hiromichi

PY - 2018/10

Y1 - 2018/10

N2 - Paroxysmal sympathetic hyperactivity is a condition involving a sudden increase in body temperature, heart rate, blood pressure, respiratory rate, sweating, and posturing followed by severe brain injury. Most of the reported preceding disorders involve head trauma, followed by anoxic brain injury, and stroke. Here, we report an extremely rare case of 17-year-old man diagnosed with hemorrhagic arteriovenous malformation, underwent emergent surgery, was on prolonged sedation due to postoperative complications, and subsequently developed paroxysmal sympathetic hyperactivity. We recommend monitoring for paroxysmal sympathetic hyperactivity occurrence with severe brain injury patients, even when sedating.

AB - Paroxysmal sympathetic hyperactivity is a condition involving a sudden increase in body temperature, heart rate, blood pressure, respiratory rate, sweating, and posturing followed by severe brain injury. Most of the reported preceding disorders involve head trauma, followed by anoxic brain injury, and stroke. Here, we report an extremely rare case of 17-year-old man diagnosed with hemorrhagic arteriovenous malformation, underwent emergent surgery, was on prolonged sedation due to postoperative complications, and subsequently developed paroxysmal sympathetic hyperactivity. We recommend monitoring for paroxysmal sympathetic hyperactivity occurrence with severe brain injury patients, even when sedating.

KW - Arteriovenous malformation

KW - gabapentin

KW - paroxysmal sympathetic hyperactivity

KW - propranolol

KW - surgery

UR - http://www.scopus.com/inward/record.url?scp=85050645302&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85050645302&partnerID=8YFLogxK

U2 - 10.1016/j.jstrokecerebrovasdis.2018.06.002

DO - 10.1016/j.jstrokecerebrovasdis.2018.06.002

M3 - Article

C2 - 30064867

AN - SCOPUS:85050645302

SN - 1052-3057

VL - 27

SP - 2768

EP - 2769

JO - Journal of Stroke and Cerebrovascular Diseases

JF - Journal of Stroke and Cerebrovascular Diseases

IS - 10

ER -

Paroxysmal Sympathetic Hyperactivity after Surgery for Cerebral Hemorrhagic Arteriovenous Malformation: A Case Report

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this