• Justin M Burton and Olga M Morozova.
• Division of Pediatric Rehabilitation Medicine, Children's National Health System, Washington, DC.
• Curr Probl Pediatr Adolesc Health Care. 2017 Jul 1; 47 (7): 145-150.

AbstractDysautonomia is a potentially life-threatening syndrome seen in many different types of brain injuries. It involves paroxysmal sympathetic hyperactivity and typically includes a constellation of symptoms, including: tachycardia, tachypnea, hyperthermia, hypertension, diaphoresis, hypertonia, and/or decerebrate or decorticate posturing. It is a clinical diagnosis of exclusion. A multimodal treatment approach is necessary including environmental modifications along with pharmacotherapy. Early management can help prevent comorbidities including secondary brain injury while also improving patient outcomes. This discussion serves as an overview of dysautonomia with a focus on management in the pediatric population including an example of a clinical algorithm and a review of the commonly used medications.Copyright © 2017 Mosby, Inc. All rights reserved.

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