Abstract

Paroxysmal sympathetic hyperactivity (PSH) is a state of autonomic dysfunction characterized by symptoms such as tachypnea, tachycardia, hypertension, hyperthermia, sweating, and dystonia. It can occur after traumatic brain injury, hypoxic-ischemic encephalopathy, and diseases such as stroke. Hypoxia, extensive axonal damage, and young age are believed to predispose to the development of PSH. These patients may be diagnosed with pulmonary embolism, septicemia, or epileptic seizures. Delays in diagnosis prolong hospital stay. Here, we present an 81-year-old man who developed PSH after a recurrent stroke and our management.

Keywords: Paroxysmal sympathetic hyperactivity, Ischemic stroke, Autonomic dysfunction

Copyright and license

Copyright © 2024 The Author(s). This is an open-access article published by Bolu İzzet Baysal Training and Research Hospital under the terms of the Creative Commons Attribution License (CC BY) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Bilgili F, Yıldız S, Aydın Türkoğlu Ş, Ersoy S. Paroxysmal sympathetic hyperactivity syndrome after recurrent stroke: A case report. Northwestern Med J. 2024;4(4):254-8. https://doi.org/10.54307/2024.NWMJ.159

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