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TBI and PAID Storm



Sympathetic storming after traumatic brain injury remains one of the most dramatic clinical scene particularly in neurological units.

 It occurs due to uncontrolled sympathetic surge with a diminish or unmatch parasympathetic response.

According to Baguley criteria 5 out of the 7 clinical features should be present - tachycardia, tachypnea, hyperthermia, hypertension, dystonia, posturing, and diaphoresis. Various agents have been used for treatment like clonidine and Benzos  (article below) but haloperidol may worsen the symptoms.

Dr. Blackman and coll. coined the term "PAID" - paroxysmal autonomic instability with dystonia- in Archives of Neurology March 2004.

Please Click below to Read more about PAID..



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