HYBRID EVENT: You can participate in person at Orlando, Florida, USA or Virtually from your home or work.

12th Edition of International Conference on Neurology and Brain Disorders

October 20-22, 2025

October 20 -22, 2025 | Orlando, Florida, USA
INBC 2025

A case of paroxysmal sympathetic hyperactivity induced by renal stones in a chronically ventilated child

Speaker at Neurology Conferences - Aji Mathew
Amana health care, United Arab Emirates
Title : A case of paroxysmal sympathetic hyperactivity induced by renal stones in a chronically ventilated child

Abstract:

Introduction: Paroxysmal sympathetic hyperactivity (PSH) which was previously called sympathetic storming, is a clinical disorder mainly caused by traumatic brain injury, stroke, hypoxic brain injury or encephalitis. The clinical features include sudden episodes of hypertension, tachycardia, tachypnoea, fever. sweating and dystonic postures. Even though majority of the episodes are spontaneous, few of the episodes may be triggered by pain or infection. We report a case of sympathetic storming in a child with HIE, found to be triggered by renal stones. Removal of the stones led to the control of symptoms.
Case report: One year boy, a known case of Hypoxic Ischemic Encephalopathy, chronically ventilated child , noted to have frequent episodes of sympathetic storming, difficult to control, most of the episodes required multiple medications including benzodiazepines and propranolol.  Markers of infection and cultures were negative. In search for a trigger, noted to have ureteric stones in ultrasonography. Presence of stones were confirmed by CT scan of abdomen. He underwent cystoscopic removal of stones , which lead to the resolution of symptoms.
Conclusion: Since the pathology of sympathetic storming  is still not clear, symptom control is the primary aim of treatment. Search for a trigger is also mandated as in our case. Treatment of underlying cause can lead to resolution of symptoms.

Biography:

Dr. Aji  Mathew is a Consultant General paediatrics with more than 16 years of experience as a paediatrician, including 7 years at Al Jalila Children’s Hospital, Dubai. Dr. Mathew graduated from Mahatma Gandhi University, India in 1999 obtaining an MBBS degree.  Following his graduation, Dr. Mathew had his training in paediatrics at Manipal Academy of Higher Education, India from 2006 to 2008. As of 2008, Dr. Mathew holds an MD Doctor of Medicine in paediatrics. Since 2012, Dr. Mathew has been a member of the Royal College of Paediatrics and Child Health (UK). In 2019, he received the European diploma in paediatric pulmonology, and in 2020, he was elected a fellow of the Royal College of paediatrics and Child Health (UK).
Field of Expertise: Acute pediatrics, Growth and development pediatrics, Behavior issues in children, Immunizations, Allergy and asthma, Common respiratory and gastrointestinal conditions, Long term rehabilitation.

Watsapp