What is the diagnosis of hypothalamic injury?

summary

Hypothalamic injury refers to a special clinical syndrome in the process of craniocerebral injury, which directly damages the hypothalamus due to the skull base fracture or violent blow to the head. What is the diagnosis of hypothalamic injury? Let's share my experience with you.

What is the diagnosis of hypothalamic injury?

1. Disturbance of consciousness and sleep. Both the posterolateral hypothalamic area and the tegmental area of the midbrain belong to the ascending reticular activation system. They are the activation mechanisms to maintain arousal and are important for the management of arousal and sleep. Once they are damaged, the patient may have drowsiness symptoms. Although they can wake up, they can spin and fall asleep again. In severe cases, they may show drowsiness.

2. Thermoregulation disorder. The hypothalamus has thermoregulation function. When the anterior part of the hypothalamus is damaged, the body's heat dissipation function is impaired, and central high fever may occur. The body temperature often rises abruptly, up to 41 ℃ or even 42 ℃. However, the skin is dry and sweat less, the skin temperature distribution is uneven, the limbs are lower than the trunk, and there is no inflammation and poisoning, and antipyretic drugs are ineffective; In the posterior part of the thalamus, the function of heat production and heat preservation is out of order, resulting in hypothermia. In the case of nodular injury, the metabolic disorder may occur, and the body temperature will be further lowered. In the case of extensive injury of the hypothalamus, the body temperature will rise and fall with the environmental temperature.

The hypothalamus pituitary target gland axis is dysfunctional. Can appear sugar, fat metabolism disorder, especially sugar metabolism disorder, performance for high blood sugar, often coexist with water metabolism disorder. The patient's blood osmotic pressure is increased, and no ketone body appears in urine. The patient has severe dehydration, blood concentration, shock, and can appear hyperosmolar and hyperglycemic non ketonic coma, with high mortality.

matters needing attention

According to different symptoms, there are different dietary requirements, ask the doctor specifically, and formulate different dietary standards for specific diseases. This disease is a traumatic disease, pay attention to safety, drive carefully, keep the home environment bright, walk carefully, watch children, avoid trauma.