2017, Number 2
Rev Mex Neuroci 2017; 18 (2)
Diencephalic seizures or paroxysmal sympathetic hyperactivity: Experience in the Central Military Hospital
Moreno-Estrada VM, Viera-Dórame RF, Zarate-Martínez JM
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ABSTRACTIntroduction: Diencephalic seizures are a relatively unknown complication in patients with severe head injury. They are a homogeneous group of abnormal regulation of sympathetic nervous system activity that can occur as a result of acquired or congenital lesions, examples of which are described above trauma which occurs in the acute phase of the same, also it occurs in spinal cord injury, subarachnoid hemorrhage, agenesis of the corpus callosum, diencephalic suprasellar tumors and hydrocephalus, among others. The importance of this condition is that poor knowledge of it conducive to be underdiagnosed and therefore increases the likelihood of severe neurological sequelae to increased brain damage. In other centers it was used morphine sulfate and beta-blockers such as drugs of choice (baclofen and propanolol with good control of the disorder).
Case report: In our hospital we used morphine sulfate for the jugular crisis in a young patient with severe head trauma sequels with good results. The treatment of this disease was performed safely and effectively with the drug.
Conclusions: The importance of early treatment may reduce sequelae in these patients. In our center it was possible to operate successfully diagnosed and treated patients in a timely manner.