08/09/2025
With all the great achievements, along comes the worst neuro storming night we have had in awhile . The bad thing about Blaine’s brain injury is his brain can only handle soo much stimulation, so with each visit, each therapy session we have to do hours of lights off, no noise stimulation free time. He obviously had too much stimulation yesterday and had horrible storming for hours last night. But today he is calming down and we are keeping the stimulation light today.
What is neurostorming?
Neurostorming, also known as paroxysmal sympathetic hyperactivity (PSH), is a condition characterized by episodes of excessive sympathetic nervous system activation following a severe traumatic brain injury (TBI). It's a secondary injury, meaning it occurs as a consequence of the initial brain trauma, rather than being the initial injury itself. Neurostorming can manifest as a cluster of symptoms including high blood pressure, rapid heart rate, fever, excessive sweating, rapid breathing, and muscle stiffness. It can be a serious complication, potentially worsening the initial brain injury and impacting other organ systems.
Key aspects of neurostorming:
Cause:
Neurostorming is thought to be caused by a disruption in the brain's ability to regulate the autonomic nervous system, specifically the sympathetic and parasympathetic branches. This disruption can lead to an overactive sympathetic response, causing the characteristic symptoms.
Symptoms:
The most common symptoms include:
Fever: Temperature exceeding 101°F (38.5°C).
High blood pressure (hypertension): Significantly elevated blood pressure readings.
Rapid heart rate (tachycardia): Heart rate exceeding 130 beats per minute.
Rapid breathing (tachypnea): Breathing rate over 40 breaths per minute.
Excessive sweating (diaphoresis): Profuse sweating, often noticeable on the face, neck, and chest.
Muscle stiffness (hypertonia) or abnormal posturing: Including rigid muscles, arching of the back, and toe pointing.
Restlessness and agitation: Increased restlessness and irritability.
Dilated pupils: Enlarged pupils.