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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Varying Body Temperature While Having Brain Injury A Cause For Concern?

Hello sir, My wife is admitted in hospital due to brain injury for last 43 days. She has started opening her eye and slowly shaking her body. But does not follow any commands at present. At the same time she is having body temperature at times which varies from 99 to 101. Could you please guide.
Mon, 4 Jan 2016
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  Anonymous's Response
's  Response
Hi,
I've gone through your query and I understand quite well your concern.
Based on what you referred to me your wife is experiencing ADS- autonomic dysfunction syndrome that is an alteration of auronomic activity as a result of traumatic brain injury, severe brain injury, hydrocephalus, intracerebral hemorrhage etc
This syndrome results in hypertension, fever, tachycardia, tachypnea, pupillary dilation, and extensor posturing. Clinical manifestations consist of a temperature of 38.5º C, hypertension, a pulse rate of at least 130 beats per minute, a respiratory rate of at least 140 breaths per minute, intermittent agitation, dystonia- muscular spasm due to this neurological injury.
Fever in patients with brain injury is most often due to infection. Less frequently, fever is due to deep venous thrombosis etc.

So, I suggest you to ask for medical assistance in Intensive Care Unit because after major brain injury, brain temperature, similarly to intracranial pressure, should be continuously monitored.

Hope this information is helpful to you
Dr. Ermira Biu
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Is Varying Body Temperature While Having Brain Injury A Cause For Concern?

Hi, I ve gone through your query and I understand quite well your concern. Based on what you referred to me your wife is experiencing ADS- autonomic dysfunction syndrome that is an alteration of auronomic activity as a result of traumatic brain injury, severe brain injury, hydrocephalus, intracerebral hemorrhage etc This syndrome results in hypertension, fever, tachycardia, tachypnea, pupillary dilation, and extensor posturing. Clinical manifestations consist of a temperature of 38.5º C, hypertension, a pulse rate of at least 130 beats per minute, a respiratory rate of at least 140 breaths per minute, intermittent agitation, dystonia- muscular spasm due to this neurological injury. Fever in patients with brain injury is most often due to infection. Less frequently, fever is due to deep venous thrombosis etc. So, I suggest you to ask for medical assistance in Intensive Care Unit because after major brain injury, brain temperature, similarly to intracranial pressure, should be continuously monitored. Hope this information is helpful to you Dr. Ermira Biu