Morphine-sensitive paroxysmal sympathetic storm in pontine intracerebral hemorrhage

Neurologist. 2010 Nov;16(6):384-5. doi: 10.1097/NRL.0b013e3181b1cdff.

Abstract

Paroxysmal sympathetic storm (PSS) is a rare complication of severe traumatic brain injury or cerebrovascular disease. Various medications have been tried in patients with PSS, but the clinical responses of the patients were variable. We report a classic case of PSS after spontaneous pontine hemorrhage in which the patient's fluctuating blood pressure and body temperature were dramatically stabilized using morphine.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analgesics, Opioid / therapeutic use
  • Autonomic Nervous System Diseases / drug therapy*
  • Autonomic Nervous System Diseases / etiology*
  • Body Temperature
  • Cerebral Hemorrhage / complications*
  • Humans
  • Male
  • Morphine / therapeutic use*
  • Pons*
  • Syndrome

Substances

  • Analgesics, Opioid
  • Morphine