• Journal of neurosurgery · Feb 1988

    Case Reports

    Stress-induced malignant hyperthermia in a head-injured patient. Case report.

    • T Feuerman, G F Gade, and R Reynolds.
    • Division of Neurosurgery, University of California, School of Medicine, Los Angeles.
    • J. Neurosurg. 1988 Feb 1;68(2):297-9.

    AbstractSusceptibility to malignant hyperthermia is a rare inherited myopathy. Hypermetabolic crises accompanied by a rise in body temperature to as high as 44 degrees C are the hallmark of malignant hyperthermia episodes. These are triggered by inhalational anesthetic agents or depolarizing muscle-relaxant drugs. A similar condition exists in pigs; however, in addition to drug-induced attacks, episodes of malignant hyperthermia occur in these animals as a result of stress. It has been proposed that stress-induced malignant hyperthermia occurs in man. The present paper presents a case of stress-induced malignant hyperthermia in a 21-year-old man in whom the inciting stress was a head injury.

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