Pediatric Rehabilitation Lecture Series: Weathering the Storm: Understanding Paroxysmal Sympathetic Hyperactivity after Pediatric Brain Injury-Session Recording

Video Transcription

Video Summary

The lecture focused on management and understanding of paroxysmal sympathetic hyperactivity (PSH) after pediatric brain injuries. Dr. Simraj Abed discussed the definition, pathophysiology, and clinical manifestations of PSH. The condition is challenging due to its symptoms, which can mimic infections or seizures, making early diagnosis crucial to prevent secondary injuries. Management typically involves medications such as propranolol and clonidine, adjustments to environmental factors, and addressing potential triggers like pain or bladder issues. Non-pharmacological interventions, like physical therapy, were also emphasized. Dr. Abed highlighted the importance of distinguishing PSH from similar conditions through diligent evaluation and keeping a broad differential diagnosis. The presentation included a case study, examples of diagnostic criteria, and management algorithms to assist healthcare professionals. Participants shared experiences and challenges, like recognizing storming symptoms and using medications effectively while minimizing cognitive impacts. The session concluded with a Q&A, addressing practical management strategies and sharing tools to aid clinical decision-making.

Keywords

paroxysmal sympathetic hyperactivity

pediatric brain injuries

clinical manifestations

early diagnosis

medication management

non-pharmacological interventions

differential diagnosis

case study

management algorithms