Table 4 Diagnostic assessment and laboratory findings in pediatric patients with paroxysmal sympathetic hyperactivity
Variables (N = 42) | Counts | % of Total |
|---|---|---|
PSH-AM use | ||
Performed | 22 | 52.4% |
Not done | 20 | 47.60% |
PSH-AM score (N = 22) | ||
Mean (SD) | 21.05 | 6.904 |
Median (IQR) | 21 | (17, 24) |
Onset of diagnosis | ||
Mean (SD) | 3.76 | 2.92 |
Median (IQR) | 2.96 | (1.71, 5) |
CBC | ||
Normal | 33 | 78.6% |
Abnormal | 9 | 21.4% |
LFT | ||
Normal | 26 | 61.9% |
Abnormal | 16 | 38.1% |
ESR | ||
Normal | 21 | 50.0% |
Abnormal | 15 | 35.7% |
Not done | 6 | 14.3% |
CRP (N = 41) | ||
Normal | 20 | 48.8% |
Abnormal | 17 | 41.5% |
Not done | 4 | 9.8% |
Blood culture | ||
Normal | 37 | 88.1% |
Abnormal | 5 | 11.9% |
Urine culture | ||
Normal | 38 | 90.5% |
Abnormal | 4 | 9.5% |
CSF culture | ||
Normal | 27 | 64.3% |
Abnormal | 1 | 2.4% |
Not done | 14 | 33.3% |
Respiratory culture | ||
Normal | 22 | 52.4% |
Abnormal | 11 | 26.2% |
Not done | 9 | 21.4% |
ECG findings | ||
Normal | 21 | 50.0% |
Not done | 10 | 23.8% |
Sinus tachycardia | 9 | 21.4% |
Sinus rhythm with 1st degree block | 1 | 2.4% |
Right bundle branch block | 1 | 2.4% |
EEG findings | ||
Normal | 3 | 7.1% |
Not done | 7 | 16.7% |
Slow background | 15 | 35.7% |
Slow background with epileptiform discharge | 13 | 31% |
Seizure | 4 | 9.5% |
MRI findings | ||
Ischemic changes | 8 | 19.04% |
hemorrhage | 3 | 7.14% |
herniation | 1 | 2.38% |
volume loss | 11 | 26.19% |
profound HIE | 8 | 19.04% |
Demyelination | 8 | 19.04% |
Diffuse axonal injury | 3 | 7.14% |
Congenital anomaly | 4 | 9.52% |
autoimmune encephalitis | 1 | 2.38% |
ECHO findings | ||
Normal | 18 | 41.9% |
Not done | 11 | 25.6% |
Abnormal | 13 | 30.9% |
Structural | 9 | 20.9% |
Valvular | 2 | 4.7% |
Functional | 2 | 4.8% |