Stručni rad

Sympathetic hyperactivity syndrome following cerebral fat embolization

JEFFREY B JENSEN ; Department of Anesthesiology, Divison of Critical Care, Mayo Clinic, 200 1st Street, Rochester, Minnesota MN 55901
JAMES ONIGKEIT ; Department of Anesthesiology, Divison of Critical Care, Mayo Clinic, 200 1st Street, Rochester, Minnesota MN 55901
SARA HOCKER ; Department of Neurology, Division of Critical Care, Mayo Clinic, Rochester, Minnesota

Sažetak

To date, there have been no reports of paroxysmal sympathetic hyperactivity syndrome (PSHS) associated with cerebral fat
embolization. We describe the case of a young male who developed acute brain injury and acute hypoxemic respiratory
failure secondary to significant fat embolization following a traumatic femur injury. Our patient demonstrated episodes of
significant hypertension, tachycardia, fever and extensor posturing. Extensive evaluation lead to the diagnosis and appropriate
treatment for PSHS. Ultimately, the patient went on to have a good neurologic recovery after a prolonged hospitalization.
We will discuss PSHS diagnostic criteria, pathophysiology and treatment options. This diagnosis should be considered in
all brain-injured patients with paroxysms of autonomic instability and abnormal movements.

Ključne riječi

acute brain injury; myoclonic encephalopathy; fat embolism; autonomic nervous system diseases; adult respiratory distress syndrome; wound; injuries

Hrčak ID:

134107

URI

https://hrcak.srce.hr/134107

Datum izdavanja:

1.10.2013.

Posjeta: 858 *