Table 3 Paroxysmal sympathetic hyperactivity-assessment measure (PSH-AM) score in our patient

Clinical feature criteria (CFS)

Score

 Heart rate

3

 Respiratory rate

3

 Systolic blood pressure

2

 Temperature

2

 Diaphoresis

3

 Posturing during episodes

2

 Clinical feature criteria total score

15

Diagnosis likelihood tool (DLT)

 One point per feature presents the following:

Score

  1) Antecedent-acquired brain injury

1

  2) Clinical features occur simultaneously

1

  3) Episodes are paroxysmal in nature

1

  4) Sympathetic over-reactivity to normally non-noxious stimuli

1

  5) The absence of parasympathetic features during episodes

1

  6) Features persist for > 3 consecutive days

1

  7) Features persist for > 2 weeks post brain injury

1

  8) Two or more episodes daily

1

  9)The absence of other presumed causes of features

1

  10) Features persist despite treatment of alternative differential diagnoses

1

  11) Medication administered to decrease sympathetic features

1

 Diagnostic likelihood tool total score

11