title: Sympathetic storming in a patient with intracranial basal ganglia hemorrhage.
abstract: Neurologic deficits and medical complications are common sequelae after intracranial hemorrhage. Among the medical complications, sympathetic storming is relatively rare. We describe a case of a patient with an acute right basal ganglia hemorrhage. During the patient's hospital course, he developed tachypnea, diaphoresis, hypertension, hyperthermia, and tachycardia for three consecutive days. A complete laboratory work-up and imaging studies were unremarkable for infectious etiology, new intracranial hemorrhage, and deep vein thrombosis. The patient was diagnosed with sympathetic storming, a relatively uncommon cause of these symptoms. The storming was secondary to a kinked Foley catheter, and subsequent placement of a new catheter resulted in the resolution of his symptoms.
authors.affiliation: Department of Physical Medicine and Rehabilitation/MossRehab, Temple University Hospital, 3401 N Broad Street, Philadelphia, PA 19140, USA.
authors.forename: Gilbert
authors.initials: G
authors.lastname: Siu
authors.forename: Michael
authors.initials: M
authors.lastname: Marino
authors.forename: Anjuli
authors.initials: A
authors.lastname: Desai
authors.forename: Frederick
authors.initials: F
authors.lastname: Nissley
mesh_terms: D001342:Autonomic Nervous System Diseases / Q000209:etiology*; D020145:Basal Ganglia Hemorrhage / Q000150:complications*; D057785:Catheters / Q000009:adverse effects*; D004868:Equipment Failure; D005334:Fever / Q000209:etiology; D006801:Humans; D006945:Hyperhidrosis / Q000209:etiology; D006973:Hypertension / Q000209:etiology; D008297:Male; D008875:Middle Aged; D056152:Respiratory Rate; D013610:Tachycardia / Q000209:etiology