Letter to the editors regarding the article entitled: “paradoxical undressing associated with subarachnoid hemorrhage in a non-hypothermia case?”
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We read with great interest the recently published article by Descloux and colleagues describing suspected paradoxical undressing in a non-hypothermia fatality . In this article, the authors reported a case of aneurysm-related spontaneous subarachnoid hemorrhage and concluded that the paradoxical undressing might be related to hemorrhage-induced dysregulation of the hypothalamic temperature-regulating centers. They postulate that hypothalamic injury associated with subarachnoid hemorrhage might induce—owing to a local inflammatory response and pyretic cytokines activity—fever with a feeling of warmth. As we have recently had a quite similar experience, we would like to share the findings of our case, which brings additional evidence of bizarre behavioral features including non-hypothermic undressing described in Descloux and colleagues’ article.
- 1.Descloux E, Ducrot K, Scarpelli MP, Lobrinus A, Palmiere C (2017) Paradoxical undressing associated with subarachnoid hemorrhage in a non-hypothermia case? Int J Legal Med. doi: 10.1007/s00414-017-1597-3