Successful Use of Prolonged Mild Hypothermia in a Patient With Severe Head Injury and Diffuse Brain Swelling: Case Report
A 19-year-old female was admitted to our hospital after severe head injury in a traffic accident. On admission, she had no spontaneous respiration, but did have heart beat with a blood pressure of 100/60 mmHg. Neurological examination demonstrated that the Glasgow Coma Scale score was 3 and her pupi...
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| Veröffentlicht in: | Neurologia medico-chirurgica 2007, Vol.47(3), pp.116-120 |
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| container_title | Neurologia medico-chirurgica |
| container_volume | 47 |
| creator | MURAKAMI, Mamoru TSUKAHARA, Tetsuya ISHIKURA, Hiroyasu HATANO, Taketo NAKAKUKI, Takuya OGINO, Eiji AOYAMA, Takako |
| description | A 19-year-old female was admitted to our hospital after severe head injury in a traffic accident. On admission, she had no spontaneous respiration, but did have heart beat with a blood pressure of 100/60 mmHg. Neurological examination demonstrated that the Glasgow Coma Scale score was 3 and her pupils were fixed and dilated. Computed tomography (CT) showed diffuse brain swelling with disappearance of the perimesencephalic cistern. Chest CT showed bilateral lung contusions. Mild hypothermia with a target temperature of 33°C was immediately induced, and was continued for 28 days to control the persistent increase in intracranial pressure (ICP). Subsequently, she recovered, and 20 months after admission, could speak and walk with slight hemiparesis on the left. Prolonged mild hypothermia may be effective to control persistent increase in ICP due to diffuse brain swelling. |
| doi_str_mv | 10.2176/nmc.47.116 |
| format | Article |
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Prolonged mild hypothermia may be effective to control persistent increase in ICP due to diffuse brain swelling.</description><subject>Adult</subject><subject>Brain Edema - etiology</subject><subject>Brain Edema - therapy</subject><subject>Brain Injuries - complications</subject><subject>Brain Injuries - therapy</subject><subject>diffuse brain swelling</subject><subject>Female</subject><subject>head injury</subject><subject>Humans</subject><subject>hypothermia</subject><subject>Hypothermia, Induced - methods</subject><issn>0470-8105</issn><issn>1349-8029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMFO3DAQhq2qVVlRLn0A5BOHStnasbNOTgho6SJRFWlBHK2JPd41SpzFTor27XG1W7jMHOabT79-Qr5yNi-5WnwPvZlLNed88YHMuJBNUbOy-UhmTCpW1JxVR-QkJd8yVspailp9JkdciVrKRsxIt5qMwZTc1NGHhHRw9C4O3RDWaOlv31m63G2HcYOx90B9oEDvYPQYRvroxw1d4V-MSJcIlt6EpynuKARLf3jnpqy7jJB_Vi_YdT6sv5BPDrqEJ4d9TO6vf95fLYvbP79uri5uCyNVNRaONzk8ADfIKqla51RVSlsxblmlFEgmQLXQOiaUEuhsjU1jjLA1b0orxTE522u3cXieMI2698nkCBBwmJJWTLCKVYsMftuDJg4pRXR6G30Pcac50__a1bldLZXO7Wb49GCd2h7tO3roMgPne-ApjbDGNwDi6E2H_11iP7Ly7WI2EDUG8QovPoxo</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>MURAKAMI, Mamoru</creator><creator>TSUKAHARA, Tetsuya</creator><creator>ISHIKURA, Hiroyasu</creator><creator>HATANO, Taketo</creator><creator>NAKAKUKI, Takuya</creator><creator>OGINO, Eiji</creator><creator>AOYAMA, Takako</creator><general>The Japan Neurosurgical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2007</creationdate><title>Successful Use of Prolonged Mild Hypothermia in a Patient With Severe Head Injury and Diffuse Brain Swelling</title><author>MURAKAMI, Mamoru ; TSUKAHARA, Tetsuya ; ISHIKURA, Hiroyasu ; HATANO, Taketo ; NAKAKUKI, Takuya ; OGINO, Eiji ; AOYAMA, Takako</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-f19047aa1ce0547bff7524d501d0577a403a7babf03773efd8e99cc3d8192d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Brain Edema - etiology</topic><topic>Brain Edema - therapy</topic><topic>Brain Injuries - complications</topic><topic>Brain Injuries - therapy</topic><topic>diffuse brain swelling</topic><topic>Female</topic><topic>head injury</topic><topic>Humans</topic><topic>hypothermia</topic><topic>Hypothermia, Induced - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MURAKAMI, Mamoru</creatorcontrib><creatorcontrib>TSUKAHARA, Tetsuya</creatorcontrib><creatorcontrib>ISHIKURA, Hiroyasu</creatorcontrib><creatorcontrib>HATANO, Taketo</creatorcontrib><creatorcontrib>NAKAKUKI, Takuya</creatorcontrib><creatorcontrib>OGINO, Eiji</creatorcontrib><creatorcontrib>AOYAMA, Takako</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurologia medico-chirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MURAKAMI, Mamoru</au><au>TSUKAHARA, Tetsuya</au><au>ISHIKURA, Hiroyasu</au><au>HATANO, Taketo</au><au>NAKAKUKI, Takuya</au><au>OGINO, Eiji</au><au>AOYAMA, Takako</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful Use of Prolonged Mild Hypothermia in a Patient With Severe Head Injury and Diffuse Brain Swelling: Case Report</atitle><jtitle>Neurologia medico-chirurgica</jtitle><addtitle>Neurol. Med. Chir.(Tokyo)</addtitle><date>2007</date><risdate>2007</risdate><volume>47</volume><issue>3</issue><spage>116</spage><epage>120</epage><pages>116-120</pages><issn>0470-8105</issn><eissn>1349-8029</eissn><abstract>A 19-year-old female was admitted to our hospital after severe head injury in a traffic accident. On admission, she had no spontaneous respiration, but did have heart beat with a blood pressure of 100/60 mmHg. Neurological examination demonstrated that the Glasgow Coma Scale score was 3 and her pupils were fixed and dilated. Computed tomography (CT) showed diffuse brain swelling with disappearance of the perimesencephalic cistern. Chest CT showed bilateral lung contusions. Mild hypothermia with a target temperature of 33°C was immediately induced, and was continued for 28 days to control the persistent increase in intracranial pressure (ICP). Subsequently, she recovered, and 20 months after admission, could speak and walk with slight hemiparesis on the left. Prolonged mild hypothermia may be effective to control persistent increase in ICP due to diffuse brain swelling.</abstract><cop>Japan</cop><pub>The Japan Neurosurgical Society</pub><pmid>17384493</pmid><doi>10.2176/nmc.47.116</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Neurologia medico-chirurgica, 2007, Vol.47(3), pp.116-120 |
| issn | 0470-8105 1349-8029 |
| language | eng |
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| source | J-STAGE Free; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Brain Edema - etiology Brain Edema - therapy Brain Injuries - complications Brain Injuries - therapy diffuse brain swelling Female head injury Humans hypothermia Hypothermia, Induced - methods |
| title | Successful Use of Prolonged Mild Hypothermia in a Patient With Severe Head Injury and Diffuse Brain Swelling: Case Report |
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