| Prognostic influence and magnetic resonance imaging findings in paroxysmal sympathetic hyperactivity after severe traumatic brain injury. | |
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MedLine Citation:
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PMID: 21028988 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Paroxysmal sympathetic hyperactivity (PSH) is a clinical syndrome affecting a subgroup of survivors of severe brain injury. In this study, the prevalence, magnetic resonance imaging (MRI) presentation, influence on the clinical course in the intensive care unit (ICU), and effect on neurological recovery of PSH were prospectively surveyed in 87 patients with severe traumatic brain injury (TBI). Cranial MRI was performed during the first 30 days after injury. The outcome was assessed according to the Glasgow Outcome Scale (GOS). PSH occurred in 18.4% of patients, with a greater incidence among younger patients and those with lower Glasgow Coma Scale (GCS) scores. Patients with PSH had more deep lesions as shown on cranial MRI, significantly longer ICU stays, and worse outcomes. PSH was shown to be common among patients with severe TBI who also had deep intraparenchymal lesions. The mechanism by which PSH influences patient outcomes has yet to be defined, but we believe that it may be mediated by diencephalic-mesencephalic dysfunction or disconnection. |
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Authors:
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Li-Quan Lv; Li-Jun Hou; Ming-Kun Yu; Xiang-Qian Qi; Huai-Rui Chen; Ju-Xiang Chen; Guo-Han Hu; Chun Luo; Yi-Cheng Lu |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-10-28 |
Journal Detail:
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Title: Journal of neurotrauma Volume: 27 ISSN: 1557-9042 ISO Abbreviation: J. Neurotrauma Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-22 Completed Date: 2011-03-03 Revised Date: 2011-09-01 |
Medline Journal Info:
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Nlm Unique ID: 8811626 Medline TA: J Neurotrauma Country: United States |
Other Details:
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Languages: eng Pagination: 1945-50 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Shanghai Institute of Neurosurgery, Shanghai Changzheng Hospital, Shanghai, China. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Autonomic Nervous System Diseases / etiology*, pathology* Brain Injuries / complications*, pathology* Case-Control Studies Cerebral Cortex / injuries, pathology Child Female Glasgow Coma Scale Glasgow Outcome Scale Humans Hydrocephalus / etiology Length of Stay Magnetic Resonance Imaging Male Middle Aged Prognosis Prospective Studies Respiration, Artificial Risk Factors Tomography, X-Ray Computed Tracheotomy Young Adult |
| Comments/Corrections | |
Comment In:
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J Neurotrauma. 2011 Jul;28(7):1327-8
[PMID:
21410317
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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