Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria / Prolonged hypothermia in refractory intracranial hypertension. Report of one case
Rev. méd. Chile
;
140(2): 219-224, feb. 2012. ilus
Article
in Spanish
| LILACS
| ID: lil-627630
ABSTRACT
The use of hypothermia after cardiac arrest caused by ventricular fibrillation is a standard clinical practice, however its use for neuroprotection has been extended to other conditions. We report a 23-year-old male with intracranial hypertension secondary to a parenchymal hematoma associated to acute hydrocephalus. An arterial malformation was found and embolized. Due to persistent intracranial hypertension, moderate hypothermia with a target temperature of 33°C was started. After 12 hours of hypothermia, intracranial pressure was controlled. After 13 days of hypothermia a definitive control of intracranial pressure was achieved. The patient was discharged 40 days after admission, remains with a mild hemiparesia and is reassuming his university studies.
Full text:
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Index:
LILACS (Americas)
Main subject:
Cerebral Hemorrhage
/
Intracranial Hypertension
/
Hematoma
/
Hypothermia, Induced
Type of study:
Etiology study
Limits:
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2012
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL
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