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Am J Phys Med Rehabil · Mar 2011
Case ReportsSympathetic storming in a patient with intracranial basal ganglia hemorrhage.
- Gilbert Siu, Michael Marino, Anjuli Desai, and Frederick Nissley.
- Department of Physical Medicine and Rehabilitation/MossRehab, Temple University Hospital, 3401 N Broad Street, Philadelphia, PA 19140, USA.
- Am J Phys Med Rehabil. 2011 Mar 1; 90 (3): 243-6.
AbstractNeurologic deficits and medical complications are common sequelae after intracranial hemorrhage. Among the medical complications, sympathetic storming is relatively rare. We describe a case of a patient with an acute right basal ganglia hemorrhage. During the patient's hospital course, he developed tachypnea, diaphoresis, hypertension, hyperthermia, and tachycardia for three consecutive days. A complete laboratory work-up and imaging studies were unremarkable for infectious etiology, new intracranial hemorrhage, and deep vein thrombosis. The patient was diagnosed with sympathetic storming, a relatively uncommon cause of these symptoms. The storming was secondary to a kinked Foley catheter, and subsequent placement of a new catheter resulted in the resolution of his symptoms.
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