title: Paroxysmal sympathetic surge associated with gamma hydroxybutyrate.
abstract: Gamma hydroxybutyrate is increasingly being used recreationally in the United Kingdom. We present a case of gamma hydroxybutyrate overdose associated with paroxysmal sympathetic storm, a phenomenon usually confined to patients who have sustained traumatic brain injury.
authors.affiliation: Department of Emergency Medicine, Royal Infirmary of Edinburgh, UK. mattreed1@hotmail.com
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Reed
authors.forename: Gareth R
authors.initials: GR
authors.lastname: Clegg
mesh_terms: D000328:Adult; D001794:Blood Pressure / Q000502:physiology; D062787:Drug Overdose; D006801:Humans; D008297:Male; D011674:Pulse; D012978:Sodium Oxybate / Q000506:poisoning*; D013564:Sympathetic Nervous System / Q000187:drug effects*
chemical_list: D012978:Sodium Oxybate