儿科获得性脑损伤中的 Paroxysmal Sympathetic Hyperactivity:一个未被认可的实体
Mahesh Kamate1, Bhavna Koppad2, Basavanagowda Thanuja1
1Department of Pediatric Neurology, Karnataka Lingayat Education Academy of Higher Education and Research University's Jawaharlal Nehru Medical College, Belagavi, Karnataka, India.
Annals of Indian Academy of Neurology
|February 20, 2025
概括
发性交感性多动性 (PSH) 是一种危险的神经疾病,导致极端的自主失调. 在获得性脑损伤的儿童中,早期发现和治疗PSH对于生存和更好的结果至关重要.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 自主神经系统障碍 自主神经系统障碍
背景情况:
- 发性交感性多动性 (PSH) 是一种危及生命的神经紧急情况,其特点是极端的自主失调.
- 它表现为反复出现的交感性过度活动,包括心动减速,高血压和高热,往往导致误诊和延迟治疗.
- 虽然在成年人中发现了获得性脑损伤的二次性PSH,但在儿童中其发生情况仍未得到报道.
研究的目的:
- 描述获得脑损伤的儿童中PSH病例.
- 强调在患有神经疾病的儿科患者中识别PSH的重要性.
- 强调需要早期诊断和管理PSH,以改善患者的治疗结果.
主要方法:
- 对六名被诊断患有PSH的儿科患者进行了回顾性病例系列分析.
- 患者已经获得了脑损伤,包括创伤性脑损伤和神经感染 (脑膜炎,脑膜炎).
- 对临床表现,诊断结果和治疗结果进行了审查.
主要成果:
- 确定了六例儿童PSH二次性到获得的大脑损伤的病例.
- 四例与创伤性脑损伤有关,两例与神经系统感染有关.
- 这项研究强调PSH可以发生在非创伤性脑损伤环境中,如脑膜炎.
结论:
- 脑脊髓炎 (PSH) 是一种未被认可的儿童脑损伤的病症,包括脑膜炎等非创伤性病因.
- 缺乏意识有助于延迟诊断和治疗,可能导致致命的并发症.
- 在儿童患者中迅速识别和干预PSH对于改善生存率和临床结果至关重要.
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