{"id":2360,"date":"2014-09-23T19:36:49","date_gmt":"2014-09-23T19:36:49","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/endss\/"},"modified":"2026-04-08T20:16:58","modified_gmt":"2026-04-08T20:16:58","slug":"endss","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/endss\/","title":{"rendered":"Criterios Diagn\u00f3stico para el S\u00edndrome Serotonin\u00e9rgico (SS)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>El s\u00edndrome de serotonin\u00e9rgico (SS)\u00a0es una afecci\u00f3n potencialmente mortal que resulta de mayor actividad serotonin\u00e9rgica del SNC que es por lo general relacionado con drogas. Los s\u00edntomas pueden incluir cambios en el estado mental, hipertermia e hiperactividad neuromuscular\u00a0y auton\u00f3mica.<br \/>\n<!--more--><br \/>\n<strong>Criterios Diagn\u00f3stico para el S\u00edndrome Serotonin\u00e9rgico (SS)<\/strong><\/p>\n<p><strong>Criterios de Sternbach<\/strong><br \/>\nDebe tener reciente incorporaci\u00f3n de un agente\u00a0serotonin\u00e9rgico\u00a0conocido, ausencia de otras causas, y sin adici\u00f3n reciente de un agente neurol\u00e9ptico, y que cumplan al menos 3 de los siguientes:<\/p>\n<ul>\n<li>Cambios en el estado mental<\/li>\n<li>Agitaci\u00f3n<\/li>\n<li>Hiperreflexia<\/li>\n<li>Mioclonos<\/li>\n<li>Diaforesis<\/li>\n<li>Temblores<\/li>\n<li>Temor<\/li>\n<li>Diarrea<\/li>\n<li>Incoordinaci\u00f3n<\/li>\n<li>Temperatura elevada<\/li>\n<\/ul>\n<p><strong>Criterios de Radomski<\/strong><br \/>\nEstado leve:<\/p>\n<ul>\n<li>Inquietud<\/li>\n<li>Insomnio<\/li>\n<li>Incoordinaci\u00f3n<\/li>\n<li>Pupilas dilatadas<\/li>\n<li>Acatisia<\/li>\n<li>Taquicardia<\/li>\n<li>Taquipnea\/disnea<\/li>\n<li>Diarrea<\/li>\n<li>Inestabilidad auton\u00f3mica<\/li>\n<\/ul>\n<p>Estado grave:<\/p>\n<ul>\n<li>Alteraci\u00f3n del nivel de\u00a0la conciencia<\/li>\n<li>\u00c1nimo irritable o elevado<\/li>\n<li>Coma<\/li>\n<li>Mioclono<\/li>\n<li>Temblor<\/li>\n<li>Tremor<\/li>\n<li>Rigidez<\/li>\n<li>Hiperreflexia<\/li>\n<li>Hipertermia<\/li>\n<li>Sudoraci\u00f3n<\/li>\n<\/ul>\n<p><strong>Criterios de Hunter<\/strong><br \/>\nDebe haber tomado un agente serotonin\u00e9rgico y cumplir uno de los siguientes criterios:<\/p>\n<ul>\n<li>Clonus espont\u00e1neas<\/li>\n<li>Clonus inducible m\u00e1s agitaci\u00f3n o diaforesis<\/li>\n<li>Clonus ocular m\u00e1s agitaci\u00f3n o diaforesis<\/li>\n<li>Temblor m\u00e1s hiperreflexia<\/li>\n<li>Hiperton\u00eda m\u00e1s de temperatura superior a 38\u202f\u00b0C m\u00e1s clonus ocular o clonus inducible<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Boyer EW, Shannon M. The serotonin syndrome. N Engl J Med. 2005 Mar 17;352(11):1112-20.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15784664\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Cooper BE, Sejnowski CA. Serotonin syndrome: recognition and treatment. AACN Adv Crit Care. 2013 Jan-Mar;24(1):15-20.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23343808\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Iqbal MM, Basil MJ, Kaplan J, Iqbal MT. Overview of serotonin syndrome. Ann Clin Psychiatry. 2012 Nov;24(4):310-8.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23145389\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Prakash S, Shah CS, Prakash A. Serotonin syndrome controversies: A need for consensus. World J Crit Care Med. 2024 Jun 9;13(2):94707. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38855279\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Oct 07, 2014.<br \/>\nActualizado Abr 08, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El s\u00edndrome de serotonin\u00e9rgico (SS)\u00a0es una afecci\u00f3n potencialmente mortal que resulta de mayor actividad serotonin\u00e9rgica del SNC que es por lo general relacionado con drogas. Los s\u00edntomas pueden incluir cambios en el estado mental, hipertermia e hiperactividad neuromuscular\u00a0y auton\u00f3mica.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[76],"tags":[16,15,14,13,895,894,5,842,4],"class_list":["post-2360","post","type-post","status-publish","format-standard","hentry","category-psychiatry","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-serotonin","tag-serotoninergico","tag-sindrome","tag-ss","tag-syndrome"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2360","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2360"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2360\/revisions"}],"predecessor-version":[{"id":10739,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2360\/revisions\/10739"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2360"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2360"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}