Paroxysmal autonomic nerve dysfunction after severe traumatic brain injury surgery: four cases report and review of literature

<p>Paroxysmal autonomic nerve dysfunction is a relatively rare clinical syndrome, and is clinically diagnosed based on the combined presence of sympathetic hyperactivity and parasympathetic hyperactivity. Early diagnosis of paroxysmal autonomic nerve dysfunction is difficult because its ear...

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Main Authors: Zhao-hui LIU, Yuan LIANG, Peng-cheng WANG, Jian-nan CHEN, Wei-lin ZHU, Tao CHENG, Jian-nong ZHAO
Format: Article
Language:English
Published: Tianjin Huanhu Hospital 2014-07-01
Series:Chinese Journal of Contemporary Neurology and Neurosurgery
Subjects:
Online Access:http://www.cjcnn.org/index.php/cjcnn/article/view/1003
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author Zhao-hui LIU
Yuan LIANG
Peng-cheng WANG
Jian-nan CHEN
Wei-lin ZHU
Tao CHENG
Jian-nong ZHAO
author_facet Zhao-hui LIU
Yuan LIANG
Peng-cheng WANG
Jian-nan CHEN
Wei-lin ZHU
Tao CHENG
Jian-nong ZHAO
author_sort Zhao-hui LIU
collection DOAJ
description <p>Paroxysmal autonomic nerve dysfunction is a relatively rare clinical syndrome, and is clinically diagnosed based on the combined presence of sympathetic hyperactivity and parasympathetic hyperactivity. Early diagnosis of paroxysmal autonomic nerve dysfunction is difficult because its early clinical manifestations are complicated and varied, and it is easily misdiagnosed as central high fever, hospital infection, and so on. The causes and mechanism of the disease are complex, and there is no effective preventive measures. This paper will report 4 cases of patients with severe traumatic brain injury (TBI) who suffered from episodes of this disease. The effective therapies include bromocriptine, propranolol, physical cooling and hyperbaric oxygen therapy. The report also provides review of literature about paroxysmal autonomic nerve dysfunction, in order to improve diagnosis and treatment of the disease.</p><p> </p><p>doi: 10.3969/j.issn.1672-6731.2014.07.016</p>
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spelling doaj.art-7904f35265644d35a9238ffbc15407062022-12-21T18:58:11ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312014-07-011476336371000Paroxysmal autonomic nerve dysfunction after severe traumatic brain injury surgery: four cases report and review of literatureZhao-hui LIU0Yuan LIANG1Peng-cheng WANG2Jian-nan CHEN3Wei-lin ZHU4Tao CHENG5Jian-nong ZHAO6Department of Neurosurgery, Hainan General Hospital, Haikou 570311, Hainan, ChinaDepartment of Neurosurgery, Hainan General Hospital, Haikou 570311, Hainan, ChinaDepartment of Neurosurgery, Hainan General Hospital, Haikou 570311, Hainan, ChinaDepartment of Neurosurgery, Hainan General Hospital, Haikou 570311, Hainan, ChinaDepartment of Neurosurgery, Hainan General Hospital, Haikou 570311, Hainan, ChinaDepartment of Neurosurgery, Hainan General Hospital, Haikou 570311, Hainan, ChinaDepartment of Neurosurgery, Hainan General Hospital, Haikou 570311, Hainan, China<p>Paroxysmal autonomic nerve dysfunction is a relatively rare clinical syndrome, and is clinically diagnosed based on the combined presence of sympathetic hyperactivity and parasympathetic hyperactivity. Early diagnosis of paroxysmal autonomic nerve dysfunction is difficult because its early clinical manifestations are complicated and varied, and it is easily misdiagnosed as central high fever, hospital infection, and so on. The causes and mechanism of the disease are complex, and there is no effective preventive measures. This paper will report 4 cases of patients with severe traumatic brain injury (TBI) who suffered from episodes of this disease. The effective therapies include bromocriptine, propranolol, physical cooling and hyperbaric oxygen therapy. The report also provides review of literature about paroxysmal autonomic nerve dysfunction, in order to improve diagnosis and treatment of the disease.</p><p> </p><p>doi: 10.3969/j.issn.1672-6731.2014.07.016</p>http://www.cjcnn.org/index.php/cjcnn/article/view/1003Autonomic nervous system diseasesCraniocerebral traumaBromocriptinePropranolol
spellingShingle Zhao-hui LIU
Yuan LIANG
Peng-cheng WANG
Jian-nan CHEN
Wei-lin ZHU
Tao CHENG
Jian-nong ZHAO
Paroxysmal autonomic nerve dysfunction after severe traumatic brain injury surgery: four cases report and review of literature
Chinese Journal of Contemporary Neurology and Neurosurgery
Autonomic nervous system diseases
Craniocerebral trauma
Bromocriptine
Propranolol
title Paroxysmal autonomic nerve dysfunction after severe traumatic brain injury surgery: four cases report and review of literature
title_full Paroxysmal autonomic nerve dysfunction after severe traumatic brain injury surgery: four cases report and review of literature
title_fullStr Paroxysmal autonomic nerve dysfunction after severe traumatic brain injury surgery: four cases report and review of literature
title_full_unstemmed Paroxysmal autonomic nerve dysfunction after severe traumatic brain injury surgery: four cases report and review of literature
title_short Paroxysmal autonomic nerve dysfunction after severe traumatic brain injury surgery: four cases report and review of literature
title_sort paroxysmal autonomic nerve dysfunction after severe traumatic brain injury surgery four cases report and review of literature
topic Autonomic nervous system diseases
Craniocerebral trauma
Bromocriptine
Propranolol
url http://www.cjcnn.org/index.php/cjcnn/article/view/1003
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