ArticleInternational journal of surgery case reports2022
Paroxysmal sympathetic hyperactivity syndrome in tuberculous meningitis with paradoxical reaction.
Article in International journal of surgery case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- Hyperbaric oxygen for paroxysmal sympathetic hyperactivity syndrome after acute carbon monoxide poisoning.Medical gas research · 2026Article
- Paroxysmal sympathetic hyperactivity in tubercular meningitis: An underacknowledged association.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025Review
- Paroxysmal sympathetic hyperactivity caused by neurosyphilis.BMJ neurology open · 2024Article
- Clinical Management of Pathogen-Negative Tuberculous Meningitis in Adults: A Series Case Study.Journal of clinical medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and importanceParoxysmal sympathetic hyperactivity syndrome is frequently reported in traumatic brain injury. However, it may occur in non-traumatic brain injury, such as tuberculous meningitis with hydrocephalus. CASE PRESENTATION: We reported a 38-year-old male who presented with acute decrease of consciousness and hemiparesis that was developed during antitubercular drugs therapy. CT Scan showed hydrocephalus and granuloma lesion. Emergency ventriculoperitoneal shunting were performed. During treatment, the patient developed paroxysmal sympathetic syndrome during treatment that was controlled based on symptom elimination and prevention. CLINICAL DISCUSSION: Brain tuberculosis remains a difficult problem for clinicians. Even when antitubercular drugs are administered according to protocol, paradoxical reactions can occur. If hydrocephalus develops, ventriculoperitoneal shunting is one of the options for lowering intracranial pressure. Paroxysmal sympathetic hyperactivity may occur in brain tuberculosis and should be detected as soon as possible to avoid serious morbidity.
conclusionParoxysmal sympathetic hyperactivity may be developed in brain tuberculosis. Early identification and treatment are mandatory.
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Registered trials
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