Riding out the storm: sympathetic storming after traumatic brain injury

DM Lemke - Journal of Neuroscience Nursing, 2004 - journals.lww.com
Abstract colon; Following acute multiple trauma, hypothalamic stimulation of the sympathetic
nervous system and adrenal glands causes an increase in circulating corticoids and
catecholamines, or a stress response. In individuals with severe traumatic brain injury or a
Glasgow Coma Scale score of 3-8, this response can be exaggerated and episodic. A term
commonly used by nurses caring for these individuals to describe this phenomenon is
storming. Symptoms can include alterations in level of consciousness, increased posturing …