Diagnosis and management of paroxysmal sympathetic hyperactivity: a narrative review of recent literature
Abstract Paroxysmal sympathoexcitatory syndrome is a clinical syndrome, recognized in a subgroup of survivors of severe acquired brain injury, of simultaneous, paroxysmal transient increases in sympathetic [elevated heart rate, blood pressure, respiratory rate, temperature, sweating] and motor [post...
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| Language: | English |
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BMC
2025-05-01
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| Series: | European Journal of Medical Research |
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| Online Access: | https://doi.org/10.1186/s40001-025-02564-w |
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| author | Peng Yin Yunsong Pan Deshun Chen Wensheng Dong Yongjun Fan Jiaqiu Zhu Hui Shi |
| author_facet | Peng Yin Yunsong Pan Deshun Chen Wensheng Dong Yongjun Fan Jiaqiu Zhu Hui Shi |
| author_sort | Peng Yin |
| collection | DOAJ |
| description | Abstract Paroxysmal sympathoexcitatory syndrome is a clinical syndrome, recognized in a subgroup of survivors of severe acquired brain injury, of simultaneous, paroxysmal transient increases in sympathetic [elevated heart rate, blood pressure, respiratory rate, temperature, sweating] and motor [posturing] activity. Coupled with the absence of uniform treatment guidelines, it is prone to underdiagnosis and misdiagnosis, leading to the adoption of inappropriate treatment protocols, which may adversely affect the prognosis of patients. This narrative review summarized the existing literature and provided a comprehensive account of the research history and terminology of PSH, epidemiology and pathogenesis, diagnostic criteria, therapeutic options, and prognosis, hoping to bring new ideas to the clinical treatment of PSH. |
| format | Article |
| id | doaj-art-4fe303f4f3444792bce54c7d289a6c84 |
| institution | OA Journals |
| issn | 2047-783X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | European Journal of Medical Research |
| spelling | doaj-art-4fe303f4f3444792bce54c7d289a6c842025-08-20T02:10:49ZengBMCEuropean Journal of Medical Research2047-783X2025-05-0130111210.1186/s40001-025-02564-wDiagnosis and management of paroxysmal sympathetic hyperactivity: a narrative review of recent literaturePeng Yin0Yunsong Pan1Deshun Chen2Wensheng Dong3Yongjun Fan4Jiaqiu Zhu5Hui Shi6Department of Neurosurgery, The Second People’s Hospital of Lianyungang City, Clinical Medical College of Jiangsu UniversityLianyungang Clinical Medical College of Nanjing Medical University, Department of Neurosurgery,The First People’s Hospital of LianyungangDepartment of Neurosurgery, The Second People’s Hospital of Lianyungang City, Clinical Medical College of Jiangsu UniversityDepartment of Neurosurgery, The Second People’s Hospital of Lianyungang City, Clinical Medical College of Jiangsu UniversityDepartment of Neurosurgery, The Second People’s Hospital of Lianyungang City, Clinical Medical College of Jiangsu UniversityDepartment of Neurosurgery, The Second People’s Hospital of Lianyungang City, Clinical Medical College of Jiangsu UniversityLianyungang Clinical Medical College of Nanjing Medical University, Department of Neurosurgery,The First People’s Hospital of LianyungangAbstract Paroxysmal sympathoexcitatory syndrome is a clinical syndrome, recognized in a subgroup of survivors of severe acquired brain injury, of simultaneous, paroxysmal transient increases in sympathetic [elevated heart rate, blood pressure, respiratory rate, temperature, sweating] and motor [posturing] activity. Coupled with the absence of uniform treatment guidelines, it is prone to underdiagnosis and misdiagnosis, leading to the adoption of inappropriate treatment protocols, which may adversely affect the prognosis of patients. This narrative review summarized the existing literature and provided a comprehensive account of the research history and terminology of PSH, epidemiology and pathogenesis, diagnostic criteria, therapeutic options, and prognosis, hoping to bring new ideas to the clinical treatment of PSH.https://doi.org/10.1186/s40001-025-02564-wPSHEpidemiologyDiagnosisTreatment |
| spellingShingle | Peng Yin Yunsong Pan Deshun Chen Wensheng Dong Yongjun Fan Jiaqiu Zhu Hui Shi Diagnosis and management of paroxysmal sympathetic hyperactivity: a narrative review of recent literature European Journal of Medical Research PSH Epidemiology Diagnosis Treatment |
| title | Diagnosis and management of paroxysmal sympathetic hyperactivity: a narrative review of recent literature |
| title_full | Diagnosis and management of paroxysmal sympathetic hyperactivity: a narrative review of recent literature |
| title_fullStr | Diagnosis and management of paroxysmal sympathetic hyperactivity: a narrative review of recent literature |
| title_full_unstemmed | Diagnosis and management of paroxysmal sympathetic hyperactivity: a narrative review of recent literature |
| title_short | Diagnosis and management of paroxysmal sympathetic hyperactivity: a narrative review of recent literature |
| title_sort | diagnosis and management of paroxysmal sympathetic hyperactivity a narrative review of recent literature |
| topic | PSH Epidemiology Diagnosis Treatment |
| url | https://doi.org/10.1186/s40001-025-02564-w |
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