Midline depressed skull fracture presenting with quadriplegia: A rare phenomenon.

Background: Midline depressed skull fractures (MDSFs) deserve a special mention among skull fractures and should always be treated with caution. Here, an extremely unusual clinical presentation of a case of MDSF is highlighted along with its successful surgical management.

Case Description: A 26-year-old male presented with quadriplegia following assault on the head with sharp weapons.

Paroxysmal sympathetic hyperactivity in severe traumatic brain injury.

Background: Paroxysmal sympathetic hyperactivity (PSH) is a less-known complication of traumatic brain injury (TBI). This study was done to assess the clinical features and outcome of patients who develop PSH following severe TBI.

Methods: A prospective observational study was done on patients, admitted in the intensive care unit, for treatment of severe TBI.

Paroxysmal sympathetic hyperactivity in pediatric traumatic brain injury: A case series of four patients.

Paroxysmal sympathetic hyperactivity (PSH) is a condition in which there is extreme autonomic dysregulation leading to multiple episodes of sympathetic hyperactivity. Its occurrence after traumatic brain injury (TBI) in pediatric population is a neglected scenario. In our series, all pediatric patients with moderate and severe head injuries were studied and those patients who developed PSH were monitored for the PSH episodes.