Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria
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Date
2012
Journal Title
Journal ISSN
Volume Title
Publisher
SOC MEDICA SANTIAGO
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 degrees 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. (Rev Med Chile 2012; 140: 219-224).
Description
Keywords
Hematoma, subdural, Hypothermia, Induced, Intracranial Hypertension, Intracranial Arteriovenous malformations, BRAIN ARTERIOVENOUS MALFORMATION, MILD HYPOTHERMIA, THERAPEUTIC HYPOTHERMIA, COMATOSE SURVIVORS, MANAGEMENT, SEDATION, PROTOCOL, INJURY