1. Cerebral fat embolization with paroxysmal sympathetic hyperactivity syndrome and septic shock at high altitude: a case report and literature review
- Author
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Guo Dong Gao, Hao Guo, Min Li, Yan Qu, Shun Nan Ge, and Gang Zhu
- Subjects
medicine.medical_specialty ,Neurology ,genetic structures ,medicine.medical_treatment ,Cerebral fat embolization ,lcsh:Surgery ,Case Report ,Trauma ,lcsh:RC346-429 ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Septic shock ,High altitude ,Medicine ,Embolization ,Fat embolism ,Paroxysmal sympathetic hyperactivity ,lcsh:Neurology. Diseases of the nervous system ,business.industry ,lcsh:RD1-811 ,Effects of high altitude on humans ,medicine.disease ,Anesthesia ,Surgery ,Neurology (clinical) ,Neurosurgery ,Differential diagnosis ,business ,030217 neurology & neurosurgery - Abstract
BackgroundCerebral 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 presentationThis 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.ConclusionsIt 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.
- Published
- 2021