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Brain Storming in Brain Trauma

  
NCJ_cover.jpgBy Eelco F. M. Wijdicks

First Online: 24 January 2020

When the autonomic system is touched or damaged, it shows clinically and often dramatically. First, neurosurgeons recognized impressive autonomic manifestations after surgery for tumors in the hypothalamic area. Neurologists often saw similar sympathetic responses in acute bulbar forms of poliomyelitis [12] and in patients in prolonged coma from major brain injury. Subsequently introduced terms, such as “sympathetic storms,” emphasized the sporadic nature of the episodes [3,4,5,6,7].

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