Bromocriptine for Control of Hyperthermia in a Patient with Mixed Autonomic Hyperactivity after Neurosurgery: A Case Report.
10.3346/jkms.2012.27.8.965
- Author:
Seong Hee KANG
1
;
Min Ja KIM
;
Il Young SHIN
;
Dae Won PARK
;
Jang Wook SOHN
;
Young Kyung YOON
Author Information
1. Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea. young7912@korea.ac.kr
- Publication Type:Case Reports ; Research Support, Non-U.S. Gov't
- Keywords:
Central Fever;
Bromocriptine;
Suprasellar Tumor;
Neurosurgery;
Autonomic Dysfunction
- MeSH:
Adult;
Brain/radionuclide imaging;
Bromocriptine/*therapeutic use;
Craniopharyngioma/complications/diagnosis/surgery;
Female;
Fever/complications/*drug therapy;
Hormone Antagonists/*therapeutic use;
Humans;
Hyperkinesis/complications/*diagnosis;
Magnetic Resonance Imaging;
Neurosurgical Procedures/*adverse effects;
Pituitary Neoplasms/complications/diagnosis/surgery;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2012;27(8):965-968
- CountryRepublic of Korea
- Language:English
-
Abstract:
Mixed autonomic hyperactivity disorder (MAHD) among patients with acquired brain injury can be rare. A delayed diagnosis of MAHD might exacerbate the clinical outcome and increase healthcare expenses with unnecessary testing. However, MAHD is still an underrecognized and evolving disease entity. A 25-yr-old woman was admitted the clinic due to craniopharyngioma. After an extensive tumor resection, she complained of sustained fever, papillary contraction, hiccup, lacrimation, and sighing. An extensive evaluation of the sustained fever was conducted. Finally, the cause for MAHD was suspected, and the patient was successfully treated with bromocriptine for a month.