Cerebral fat embolization with paroxysmal sympathetic hyperactivity syndrome and septic shock at high altitude: a case report and literature review

Abstract Background Cerebral fat embolism (CFE) syndrome at high altitude was rare complicated with paroxysmal sympathetic hyperactivity (PSH) and septic shock. It is a challenge to differential diagnosis treatment altitude. Case presentation This case presents CFE PSH shock of 23-year-old man occurred 3800 m above sea level, transferred by airplane successfully cured in the department neurosurgery, Xi’an Tangdu Hospital. Conclusions key that can be rapid diagnosed bundles should initiated as soon possible. Early neurological rehabilitation played an important role for good outcome.