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Cerebral fat embolization with paroxysmal sympathetic hyperactivity syndrome and septic shock at high altitude: a case report and literature review. | LitMetric

Cerebral fat embolization with paroxysmal sympathetic hyperactivity syndrome and septic shock at high altitude: a case report and literature review.

Chin Neurosurg J

Department of Neurosurgery, The Second Affiliated Hospital, Air Force Medical University, No. 569 Xinsi Road, Xi'an, 710038, China.

Published: February 2021

AI Article Synopsis

  • Cerebral fat embolism (CFE) syndrome, complicated by paroxysmal sympathetic hyperactivity (PSH) and septic shock, is a rare and challenging condition to diagnose and treat at high altitudes.
  • A case involved a 23-year-old man experiencing CFE with PSH and septic shock at 3,800 meters, who was successfully transferred and treated at a neurosurgery department.
  • Prompt diagnosis and immediate treatment for septic shock are crucial, and early neurological rehabilitation significantly contributes to positive recovery outcomes.

Article Abstract

Background: Cerebral fat embolism (CFE) syndrome at high altitude was rare complicated with paroxysmal sympathetic hyperactivity (PSH) syndrome and septic shock. It is a challenge to differential diagnosis and treatment at high altitude.

Case Presentation: This case presents a CFE with PSH and septic shock of a 23-year-old man occurred at high altitude of 3800 m above sea level, transferred by airplane successfully and cured in the department of neurosurgery, Xi'an Tangdu Hospital.

Conclusions: It is key that CFE with PSH can be rapid diagnosed and treatment bundles of septic shock should be initiated as soon as possible. Early neurological rehabilitation played an important role for good outcome.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7890899PMC
http://dx.doi.org/10.1186/s41016-021-00232-6DOI Listing

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