Letter to the editors regarding the article entitled: "paradoxical undressing associated with subarachnoid hemorrhage in a non-hypothermia case?"
Abstract
We read with great interest the recently published article by Descloux and colleagues describing suspected paradoxical undressing in a non-hypothermia fatality [1]. 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.